There is no evidence of acute intracranial hemorrhage. There is redemonstration of large area of hypoattenuation and volume loss involving the right frontal, parietal and temporal lobes as well as right subinsular white matter and posterior limb of right internal capsule, consistent with chronic infarction. There is Wallerian degeneration along the right corticospinal tract. There is also more symmetric confluent hypodensities in the bilateral periventricular white matter, compatible with chronic small vessel ischemic disease, similar to prior. There is ex vacuo dilatation of right lateral ventricle. The ventricular size and configuration is unchanged from previous. There is no midline shift or herniation. There are few punctate scattered dystrophic calcifications in the right cerebral hemisphere. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids air cells are grossly clear. Again seen is a left frontal subgaleal hematoma, unchanged. There are no calvarial fractures.
clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'temporal lobes': {}, 'posterior limb of right internal capsule': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right corticospinal tract': {}}clinical findings_fin: {'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}, 'right corticospinal': {'clinical finding': 'right corticospinal', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'corticospinal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'more symmetric confluent hypodensities': {'clinical finding': 'more symmetric confluent hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'more symmetric confluent', 'observation': 'hypodensity', 'quantity_term': 'more'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'ventricular size and configuration is unchanged from previous': {'clinical finding': 'ventricular size and configuration is unchanged from previous', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'right cerebral hemisphere': {}}clinical findings_fin: {'few punctate scattered dystrophic calcifications': {'clinical finding': 'few punctate scattered dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate scattered dystrophic', 'observation': 'calcification', 'quantity_term': 'few'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left frontal subgaleal hematoma': {'clinical finding': 'left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'left frontal subgaleal', 'observation': 'hematoma'}}clinical findings_fin: {'calvarial fractures': {'clinical finding': 'calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'temporal lobes': {}, 'posterior limb of right internal capsule': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right corticospinal tract': {}}clinical findings_fin: {'wallerian degeneration': {'clinical finding': 'wallerian degeneration', 'cf_snomed': {'wallerian degeneration': 36161006}, 'existence': 'pos_dx', 'descriptive_term': 'wallerian', 'observation': 'degeneration'}, 'right corticospinal': {'clinical finding': 'right corticospinal', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'corticospinal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'more symmetric confluent hypodensities': {'clinical finding': 'more symmetric confluent hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'more symmetric confluent', 'observation': 'hypodensity', 'quantity_term': 'more'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'ventricular size and configuration is unchanged from previous': {'clinical finding': 'ventricular size and configuration is unchanged from previous', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'right cerebral hemisphere': {}}clinical findings_fin: {'few punctate scattered dystrophic calcifications': {'clinical finding': 'few punctate scattered dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate scattered dystrophic', 'observation': 'calcification', 'quantity_term': 'few'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left frontal subgaleal hematoma': {'clinical finding': 'left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'left frontal subgaleal', 'observation': 'hematoma'}}clinical findings_fin: {'calvarial fractures': {'clinical finding': 'calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}} [/INST] There is no evidence of acute intracranial hemorrhage. There is redemonstration of large area of hypoattenuation and volume loss involving the right frontal, parietal and temporal lobes as well as right subinsular white matter and posterior limb of right internal capsule, consistent with chronic infarction. There is Wallerian degeneration along the right corticospinal tract. There is also more symmetric confluent hypodensities in the bilateral periventricular white matter, compatible with chronic small vessel ischemic disease, similar to prior. There is ex vacuo dilatation of right lateral ventricle. The ventricular size and configuration is unchanged from previous. There is no midline shift or herniation. There are few punctate scattered dystrophic calcifications in the right cerebral hemisphere. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids air cells are grossly clear. Again seen is a left frontal subgaleal hematoma, unchanged. There are no calvarial fractures. </s>