The exams are limited by patient motion. There is no intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Encephalomalacia within the anterior left frontal lobe is unchanged as are patchy areas of hypoattenuation in the supratentorial white matter. There is no extraaxial fluid collection, midline shift, or mass effect. There are no areas of pathological parenchymal or meningeal enhancement. The osseous structures are intact. There is a partially empty sella. Atherosclerotic calcification in the distal internal carotid artery is again noted. Retention cysts are again seen in both maxillary sinuses. There is mucosal thickening or mucous within the ethmoid air cells and left nasal cavity and air-fluid levels within the right mastoid air cells. There is narrowing of the hypopharyngeal airspace however without evidence of mass or abnormal enhancement. The nasopharynx, oropharynx, and larynx are unremarkable. The oral tongue, floor of mouth, and upper esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable appearance. The thyroid gland is unremarkable. There is no cervical lymphadenopathy according to radiological criteria. Degenerative changes affect the cervical spine. The lung apices are poorly visualized due to motion artifact. Right central venous catheter tip is at the cavoatrial junction. The carotid arteries and jugular veins are patent.
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: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['midline']clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'pathological parenchymal or meningeal enhancement': {'clinical finding': 'pathological parenchymal or meningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological parenchymal or meningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'retention cysts': {'clinical finding': 'retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'}}anatomical entity_fin: {'cells': {}, 'nasal cavity': {'location descriptor': 'left'}, 'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'mucous': {'clinical finding': 'mucous', 'existence': 'unc_dx', 'observation': 'mucous'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and larynx are unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}, 'esophagus': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'oral tongue , floor of mouth , and upper esophagus are unremarkable': {'clinical finding': 'oral tongue , floor of mouth , and upper esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'lung': {}, 'apices': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}
<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'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['midline']clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'pathological parenchymal or meningeal enhancement': {'clinical finding': 'pathological parenchymal or meningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological parenchymal or meningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'retention cysts': {'clinical finding': 'retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'}}anatomical entity_fin: {'cells': {}, 'nasal cavity': {'location descriptor': 'left'}, 'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'mucous': {'clinical finding': 'mucous', 'existence': 'unc_dx', 'observation': 'mucous'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and larynx are unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}, 'esophagus': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'oral tongue , floor of mouth , and upper esophagus are unremarkable': {'clinical finding': 'oral tongue , floor of mouth , and upper esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'lung': {}, 'apices': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} [/INST] The exams are limited by patient motion. There is no intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Encephalomalacia within the anterior left frontal lobe is unchanged as are patchy areas of hypoattenuation in the supratentorial white matter. There is no extraaxial fluid collection, midline shift, or mass effect. There are no areas of pathological parenchymal or meningeal enhancement. The osseous structures are intact. There is a partially empty sella. Atherosclerotic calcification in the distal internal carotid artery is again noted. Retention cysts are again seen in both maxillary sinuses. There is mucosal thickening or mucous within the ethmoid air cells and left nasal cavity and air-fluid levels within the right mastoid air cells. There is narrowing of the hypopharyngeal airspace however without evidence of mass or abnormal enhancement. The nasopharynx, oropharynx, and larynx are unremarkable. The oral tongue, floor of mouth, and upper esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable appearance. The thyroid gland is unremarkable. There is no cervical lymphadenopathy according to radiological criteria. Degenerative changes affect the cervical spine. The lung apices are poorly visualized due to motion artifact. Right central venous catheter tip is at the cavoatrial junction. The carotid arteries and jugular veins are patent. </s>