. There are postoperative findings related to thyroidectomy and neck dissection. There thyroidectomy bed appears unchanged. However, there has been continued interval increase in size of lower neck and partially-imaged mediastinum. For example, a left lower neck mass now measures 20 x 16 mm, previously 16 x 20 mm. The partially-imaged upper mediastinal lymph nodes also appear to have increased in size. In addition, there are multiple nodules in the partially-imaged lungs. The airways are patent. The salivary glands are unremarkable. There is mass effect upon the proximal left common carotid artery from the adjacent mass lesions. Much of the right internal jugular vein is inapparent, which is unchanged. The osseous structures are unchanged. There is streaky hyperattenuation in the bilateral facial subcutaneous tissues, which likely represents cosmetic filler. There is no evidence of intracranial mass or abnormal enhancement. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues are unremarkable.
anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}}clinical findings_fin: {'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}anatomical entity_fin: {'neck': {'location descriptor': 'lower'}, 'mediastinum': {}}location descriptor_fin: ['lower']clinical findings_fin: {'lower neck and partially - imaged mediastinum': {'clinical finding': 'lower neck and partially - imaged mediastinum'}}size_fin: [{'size': '20 x 16 mm'}, {'size': '16 x 20 mm'}]anatomical entity_fin: {'neck': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower neck mass': {'clinical finding': 'left lower neck mass', 'existence': 'pos_dx', 'descriptive_term': 'left lower neck', 'observation': 'mass'}}anatomical entity_fin: {'mediastinal lymph nodes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'partially-imaged upper mediastinal lymph nodes': {'clinical finding': 'partially-imaged upper mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged upper mediastinal lymph', 'observation': 'node', 'strength_term': 'partially'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'proximal left'}}location descriptor_fin: ['proximal', 'left', 'adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'adjacent mass lesions': {'clinical finding': 'adjacent mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent mass', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'inapparent': {'clinical finding': 'inapparent', 'existence': 'pos_dx', 'observation': 'inapparent'}}clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'streaky hyperattenuation': {'clinical finding': 'streaky hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'streaky', 'observation': 'hyperattenuation'}, 'cosmetic filler': {'clinical finding': 'cosmetic filler', 'existence': 'unc_dx', 'descriptive_term': 'cosmetic', 'observation': 'filler'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles are normal in size and configuration': {'clinical finding': 'ventricles 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: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_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: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}}clinical findings_fin: {'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}anatomical entity_fin: {'neck': {'location descriptor': 'lower'}, 'mediastinum': {}}location descriptor_fin: ['lower']clinical findings_fin: {'lower neck and partially - imaged mediastinum': {'clinical finding': 'lower neck and partially - imaged mediastinum'}}size_fin: [{'size': '20 x 16 mm'}, {'size': '16 x 20 mm'}]anatomical entity_fin: {'neck': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower neck mass': {'clinical finding': 'left lower neck mass', 'existence': 'pos_dx', 'descriptive_term': 'left lower neck', 'observation': 'mass'}}anatomical entity_fin: {'mediastinal lymph nodes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'partially-imaged upper mediastinal lymph nodes': {'clinical finding': 'partially-imaged upper mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged upper mediastinal lymph', 'observation': 'node', 'strength_term': 'partially'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'proximal left'}}location descriptor_fin: ['proximal', 'left', 'adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'adjacent mass lesions': {'clinical finding': 'adjacent mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent mass', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'inapparent': {'clinical finding': 'inapparent', 'existence': 'pos_dx', 'observation': 'inapparent'}}clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'streaky hyperattenuation': {'clinical finding': 'streaky hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'streaky', 'observation': 'hyperattenuation'}, 'cosmetic filler': {'clinical finding': 'cosmetic filler', 'existence': 'unc_dx', 'descriptive_term': 'cosmetic', 'observation': 'filler'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles are normal in size and configuration': {'clinical finding': 'ventricles 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: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_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] . There are postoperative findings related to thyroidectomy and neck dissection. There thyroidectomy bed appears unchanged. However, there has been continued interval increase in size of lower neck and partially-imaged mediastinum. For example, a left lower neck mass now measures 20 x 16 mm, previously 16 x 20 mm. The partially-imaged upper mediastinal lymph nodes also appear to have increased in size. In addition, there are multiple nodules in the partially-imaged lungs. The airways are patent. The salivary glands are unremarkable. There is mass effect upon the proximal left common carotid artery from the adjacent mass lesions. Much of the right internal jugular vein is inapparent, which is unchanged. The osseous structures are unchanged. There is streaky hyperattenuation in the bilateral facial subcutaneous tissues, which likely represents cosmetic filler. There is no evidence of intracranial mass or abnormal enhancement. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues are unremarkable. </s>