No evidence for acute intracranial hemorrhage, mass effect, or edema. There is volume loss, more than the expected for the patients age. There is no midline shift. The gray-white matter differentiation is preserved. No extra-axial fluid. Basal cisterns are patent with no evidence of herniation. There is medial concavity of the right lamina papyracea and deformity of the adjacent right medial rectus muscle. Extraconal fat is seen extending into the fracture defect. This is due to previous fracture, unchanged since the previous study. No new osseous abnormalities. There is a mucosal thickening of the right maxillary sinus.
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'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}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: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'medial rectus muscle': {'location descriptor': 'adjacent right'}}location descriptor_fin: ['medial', 'right', 'adjacent']clinical findings_fin: {'medial concavity': {'clinical finding': 'medial concavity', 'existence': 'pos_dx', 'descriptive_term': 'medial', 'observation': 'concavity'}, 'right lamina papyracea': {'clinical finding': 'right lamina papyracea', 'existence': 'pos_dx', 'descriptive_term': 'right lamina', 'observation': 'papyracea'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}}imaging observation_fin: ['fat']clinical findings_fin: {'extraconal fat': {'clinical finding': 'extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'extraconal', 'observation': 'fat'}, 'fracture defect': {'clinical finding': 'fracture defect', 'cf_snomed': {'fracture': 72704001, 'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'defect'}}clinical findings_fin: {'previous fracture': {'clinical finding': 'previous fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'fracture', 'temporal_term': 'previous'}}clinical findings_fin: {'new osseous abnormalities': {'clinical finding': 'new osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'new osseous', 'observation': 'abnormality', 'temporal_term': 'new'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}
<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'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}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: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'medial rectus muscle': {'location descriptor': 'adjacent right'}}location descriptor_fin: ['medial', 'right', 'adjacent']clinical findings_fin: {'medial concavity': {'clinical finding': 'medial concavity', 'existence': 'pos_dx', 'descriptive_term': 'medial', 'observation': 'concavity'}, 'right lamina papyracea': {'clinical finding': 'right lamina papyracea', 'existence': 'pos_dx', 'descriptive_term': 'right lamina', 'observation': 'papyracea'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}}imaging observation_fin: ['fat']clinical findings_fin: {'extraconal fat': {'clinical finding': 'extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'extraconal', 'observation': 'fat'}, 'fracture defect': {'clinical finding': 'fracture defect', 'cf_snomed': {'fracture': 72704001, 'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'defect'}}clinical findings_fin: {'previous fracture': {'clinical finding': 'previous fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'fracture', 'temporal_term': 'previous'}}clinical findings_fin: {'new osseous abnormalities': {'clinical finding': 'new osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'new osseous', 'observation': 'abnormality', 'temporal_term': 'new'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}} [/INST] No evidence for acute intracranial hemorrhage, mass effect, or edema. There is volume loss, more than the expected for the patients age. There is no midline shift. The gray-white matter differentiation is preserved. No extra-axial fluid. Basal cisterns are patent with no evidence of herniation. There is medial concavity of the right lamina papyracea and deformity of the adjacent right medial rectus muscle. Extraconal fat is seen extending into the fracture defect. This is due to previous fracture, unchanged since the previous study. No new osseous abnormalities. There is a mucosal thickening of the right maxillary sinus. </s>