There has been an interval decrease in the degree of cytotoxic edema and mass effect associated with the previously described large right middle cerebral artery territory infarct. The lateral ventricles are now symmetric in appearance although remaining somewhat prominent for age. The petechial internal foci of hemorrhage associated with the infarct has also decreased in conspicuity in the interim consistent with expected evolutionThere are no new areas of acute intracranial hemorrhage identified. The ventricles and sulci are within normal limits. There is no midline shift. Postsurgical changes related to right craniectomy are again seen with stable mild herniation of the edematous right hemispheric stroke through the craniectomy defect. The osseous structures are otherwise intact. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. Aneurysm clip in the right sylvian fissure and more posteriorly located coil mass from prior aneurysm are again identified with beam hardening artifact, limiting assessment through the region of the artifact.
anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'cytotoxic edema': {'clinical finding': 'cytotoxic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'cytotoxic', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'previously described large right middle cerebral artery territory infarct': {'clinical finding': 'previously described large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}, 'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}imaging observation_fin: ['foci']clinical findings_fin: {'petechial internal foci': {'clinical finding': 'petechial internal foci', 'existence': 'pos_dx', 'descriptive_term': 'petechial internal', 'observation': 'foci'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'observation': 'infarct'}, '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'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right craniectomy': {'clinical finding': 'right craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'craniectomy'}, 'stable mild herniation': {'clinical finding': 'stable mild herniation', 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'herniation', 'strength_term': 'stable - mild', 'change_term': 'stable'}, 'edematous right hemispheric stroke': {'clinical finding': 'edematous right hemispheric stroke', 'existence': 'pos_dx', 'descriptive_term': 'edematous right hemispheric', 'observation': 'stroke'}, 'craniectomy defect': {'clinical finding': 'craniectomy defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'craniectomy', 'observation': 'defect'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}imaging observation_fin: ['assessment']location descriptor_fin: ['right']object_fin: ['aneurysm clip', 'coil']clinical findings_fin: {'aneurysm clip': {'clinical finding': 'aneurysm clip', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysm', 'observation': 'clip'}, 'right sylvian fissure': {'clinical finding': 'right sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure'}, 'more posteriorly located coil mass': {'clinical finding': 'more posteriorly located coil mass', 'existence': 'pos_dx', 'descriptive_term': 'more posteriorly located coil', 'observation': 'mass', 'quantity_term': 'more'}, 'prior aneurysm': {'clinical finding': 'prior aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'aneurysm'}, 'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'cytotoxic edema': {'clinical finding': 'cytotoxic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'cytotoxic', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'previously described large right middle cerebral artery territory infarct': {'clinical finding': 'previously described large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}, 'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}imaging observation_fin: ['foci']clinical findings_fin: {'petechial internal foci': {'clinical finding': 'petechial internal foci', 'existence': 'pos_dx', 'descriptive_term': 'petechial internal', 'observation': 'foci'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'observation': 'infarct'}, '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'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right craniectomy': {'clinical finding': 'right craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'craniectomy'}, 'stable mild herniation': {'clinical finding': 'stable mild herniation', 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'herniation', 'strength_term': 'stable - mild', 'change_term': 'stable'}, 'edematous right hemispheric stroke': {'clinical finding': 'edematous right hemispheric stroke', 'existence': 'pos_dx', 'descriptive_term': 'edematous right hemispheric', 'observation': 'stroke'}, 'craniectomy defect': {'clinical finding': 'craniectomy defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'craniectomy', 'observation': 'defect'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}imaging observation_fin: ['assessment']location descriptor_fin: ['right']object_fin: ['aneurysm clip', 'coil']clinical findings_fin: {'aneurysm clip': {'clinical finding': 'aneurysm clip', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysm', 'observation': 'clip'}, 'right sylvian fissure': {'clinical finding': 'right sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure'}, 'more posteriorly located coil mass': {'clinical finding': 'more posteriorly located coil mass', 'existence': 'pos_dx', 'descriptive_term': 'more posteriorly located coil', 'observation': 'mass', 'quantity_term': 'more'}, 'prior aneurysm': {'clinical finding': 'prior aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'aneurysm'}, 'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}} [/INST] There has been an interval decrease in the degree of cytotoxic edema and mass effect associated with the previously described large right middle cerebral artery territory infarct. The lateral ventricles are now symmetric in appearance although remaining somewhat prominent for age. The petechial internal foci of hemorrhage associated with the infarct has also decreased in conspicuity in the interim consistent with expected evolutionThere are no new areas of acute intracranial hemorrhage identified. The ventricles and sulci are within normal limits. There is no midline shift. Postsurgical changes related to right craniectomy are again seen with stable mild herniation of the edematous right hemispheric stroke through the craniectomy defect. The osseous structures are otherwise intact. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. Aneurysm clip in the right sylvian fissure and more posteriorly located coil mass from prior aneurysm are again identified with beam hardening artifact, limiting assessment through the region of the artifact. </s>