Soft tissue density material is noted involving bilateral mastoid air cells, middle ear cavities, and petrous apical air cells. There is also thickening of the soft tissues of bilateral external auditory canals, especially noted medially. This includes material within bilateral oval and round window niches, as well as sinus tympani, bilaterally. This is not associated with osseous erosion. There are no drainable fluid collections. Sinus fluid is present throughout all paranasal sinuses, excluding the sphenoid sinuses. This includes bilateral maxillary sinus air-fluid levels. There is no evidence for congenital atresia of the external auditory canals or middle ear cavities. The scuta and ossicles are intact bilaterally. No erosive changes are identified. The roofs of the attic are intact on both sides. The course of the seventh nerves are well defined bilaterally without positional anomalies identified on either side. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. The cochlea and vestibules are patent bilaterally. There are no dehiscences or fenestrations of the semicircular canals on either side. The cochlear and vestibular aqueducts and internal auditory canals are symmetric bilaterally.
anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'cells': {}}imaging observation_fin: ['soft tissue density', 'apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'external auditory canals': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral oval and round window niches': {'clinical finding': 'bilateral oval and round window niches', 'existence': 'pos_dx', 'descriptive_term': 'bilateral oval and round window', 'observation': 'niche'}}clinical findings_fin: {'osseous erosion': {'clinical finding': 'osseous erosion', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'erosion'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'fluid': {}, 'paranasal sinuses': {}}clinical findings_fin: {'sinus': {'clinical finding': 'sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'external auditory canals': {}, 'middle ear cavities': {}}clinical findings_fin: {'congenital atresia': {'clinical finding': 'congenital atresia', 'cf_snomed': {'congenital atresia': 56457002}, 'existence': 'neg_dx', 'descriptive_term': 'congenital', 'observation': 'atresia'}, 'middle ear cavities': {'clinical finding': 'middle ear cavities', 'cf_snomed': {'cavity': 2483006}, 'existence': 'neg_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'erosive changes': {'clinical finding': 'erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'erosive', 'observation': 'change'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'attic': {'clinical finding': 'attic', 'existence': 'pos_dx', 'observation': 'attic'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'nerves': {}}clinical findings_fin: {'positional anomalies': {'clinical finding': 'positional anomalies', 'existence': 'neg_dx', 'descriptive_term': 'positional', 'observation': 'anomaly'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'congenital inner ear anomalies': {'clinical finding': 'congenital inner ear anomalies', 'existence': 'neg_dx', 'descriptive_term': 'congenital inner ear', 'observation': 'anomaly'}}anatomical entity_fin: {'cochlea': {}, 'vestibules': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'semicircular canals': {}}clinical findings_fin: {'dehiscences': {'clinical finding': 'dehiscences', 'cf_snomed': {'dehiscence': 11108009}, 'existence': 'neg_dx', 'observation': 'dehiscence'}, 'fenestrations': {'clinical finding': 'fenestrations', 'cf_snomed': {'fenestration': 16255008}, 'existence': 'neg_dx', 'observation': 'fenestration'}}anatomical entity_fin: {'vestibular aqueducts': {}, 'internal auditory canals': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'cells': {}}imaging observation_fin: ['soft tissue density', 'apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'external auditory canals': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral oval and round window niches': {'clinical finding': 'bilateral oval and round window niches', 'existence': 'pos_dx', 'descriptive_term': 'bilateral oval and round window', 'observation': 'niche'}}clinical findings_fin: {'osseous erosion': {'clinical finding': 'osseous erosion', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'erosion'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'fluid': {}, 'paranasal sinuses': {}}clinical findings_fin: {'sinus': {'clinical finding': 'sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'external auditory canals': {}, 'middle ear cavities': {}}clinical findings_fin: {'congenital atresia': {'clinical finding': 'congenital atresia', 'cf_snomed': {'congenital atresia': 56457002}, 'existence': 'neg_dx', 'descriptive_term': 'congenital', 'observation': 'atresia'}, 'middle ear cavities': {'clinical finding': 'middle ear cavities', 'cf_snomed': {'cavity': 2483006}, 'existence': 'neg_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'erosive changes': {'clinical finding': 'erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'erosive', 'observation': 'change'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'attic': {'clinical finding': 'attic', 'existence': 'pos_dx', 'observation': 'attic'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'nerves': {}}clinical findings_fin: {'positional anomalies': {'clinical finding': 'positional anomalies', 'existence': 'neg_dx', 'descriptive_term': 'positional', 'observation': 'anomaly'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'congenital inner ear anomalies': {'clinical finding': 'congenital inner ear anomalies', 'existence': 'neg_dx', 'descriptive_term': 'congenital inner ear', 'observation': 'anomaly'}}anatomical entity_fin: {'cochlea': {}, 'vestibules': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'semicircular canals': {}}clinical findings_fin: {'dehiscences': {'clinical finding': 'dehiscences', 'cf_snomed': {'dehiscence': 11108009}, 'existence': 'neg_dx', 'observation': 'dehiscence'}, 'fenestrations': {'clinical finding': 'fenestrations', 'cf_snomed': {'fenestration': 16255008}, 'existence': 'neg_dx', 'observation': 'fenestration'}}anatomical entity_fin: {'vestibular aqueducts': {}, 'internal auditory canals': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}} [/INST] Soft tissue density material is noted involving bilateral mastoid air cells, middle ear cavities, and petrous apical air cells. There is also thickening of the soft tissues of bilateral external auditory canals, especially noted medially. This includes material within bilateral oval and round window niches, as well as sinus tympani, bilaterally. This is not associated with osseous erosion. There are no drainable fluid collections. Sinus fluid is present throughout all paranasal sinuses, excluding the sphenoid sinuses. This includes bilateral maxillary sinus air-fluid levels. There is no evidence for congenital atresia of the external auditory canals or middle ear cavities. The scuta and ossicles are intact bilaterally. No erosive changes are identified. The roofs of the attic are intact on both sides. The course of the seventh nerves are well defined bilaterally without positional anomalies identified on either side. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. The cochlea and vestibules are patent bilaterally. There are no dehiscences or fenestrations of the semicircular canals on either side. The cochlear and vestibular aqueducts and internal auditory canals are symmetric bilaterally. </s>