The right frontal lobe especially both superior frontal gyrus and middle frontal gyrus show subtle swelling of cortex. In addition, the superior frontal sulcus and precentral sulcus demonstrated increased attenuation comparing to other sulci which show CSF attenuation. This may represent high proteinaceous content or blood products within the subarachnoid space. Constellation of above findings indicate possibility of blood brain barrier disruption such as acute ischemia, acute inflammatory changes or seizure. Artifactual finding cannot be completely excluded but appears to be less likely. Brain MRI with and without contrast could be considered for further evaluation. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear.
anatomical entity_fin: {'right frontal lobe': {}, 'superior frontal gyrus': {}, 'middle frontal gyrus': {}, 'cortex': {}}clinical findings_fin: {'subtle swelling': {'clinical finding': 'subtle swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'swell', 'strength_term': 'subtle'}}anatomical entity_fin: {'superior frontal sulcus': {}, 'precentral sulcus': {}}clinical findings_fin: {'increased attenuation': {'clinical finding': 'increased attenuation', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased'}, 'csf attenuation': {'clinical finding': 'csf attenuation', 'existence': 'unc_dx', 'descriptive_term': 'csf', 'observation': 'attenuation'}}anatomical entity_fin: {'subarachnoid space': {}}imaging observation_fin: ['blood products']clinical findings_fin: {'high proteinaceous content': {'clinical finding': 'high proteinaceous content', 'existence': 'unc_dx', 'descriptive_term': 'high proteinaceous', 'observation': 'content'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'}}anatomical entity_fin: {'brain': {}}imaging observation_fin: ['blood']clinical findings_fin: {'blood brain barrier disruption': {'clinical finding': 'blood brain barrier disruption', 'cf_snomed': {'disruption': 76555007}, 'existence': 'unc_dx', 'descriptive_term': 'blood brain barrier', 'observation': 'disruption'}, 'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'acute inflammatory changes': {'clinical finding': 'acute inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'acute inflammatory', 'observation': 'change', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'seizure': {'clinical finding': 'seizure', 'cf_snomed': {'seizure': 91175000}, 'existence': 'unc_dx', 'observation': 'seizure'}}clinical findings_fin: {'completely excluded but appears': {'clinical finding': 'completely excluded but appears'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right frontal lobe': {}, 'superior frontal gyrus': {}, 'middle frontal gyrus': {}, 'cortex': {}}clinical findings_fin: {'subtle swelling': {'clinical finding': 'subtle swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'swell', 'strength_term': 'subtle'}}anatomical entity_fin: {'superior frontal sulcus': {}, 'precentral sulcus': {}}clinical findings_fin: {'increased attenuation': {'clinical finding': 'increased attenuation', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased'}, 'csf attenuation': {'clinical finding': 'csf attenuation', 'existence': 'unc_dx', 'descriptive_term': 'csf', 'observation': 'attenuation'}}anatomical entity_fin: {'subarachnoid space': {}}imaging observation_fin: ['blood products']clinical findings_fin: {'high proteinaceous content': {'clinical finding': 'high proteinaceous content', 'existence': 'unc_dx', 'descriptive_term': 'high proteinaceous', 'observation': 'content'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'}}anatomical entity_fin: {'brain': {}}imaging observation_fin: ['blood']clinical findings_fin: {'blood brain barrier disruption': {'clinical finding': 'blood brain barrier disruption', 'cf_snomed': {'disruption': 76555007}, 'existence': 'unc_dx', 'descriptive_term': 'blood brain barrier', 'observation': 'disruption'}, 'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'acute inflammatory changes': {'clinical finding': 'acute inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'acute inflammatory', 'observation': 'change', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'seizure': {'clinical finding': 'seizure', 'cf_snomed': {'seizure': 91175000}, 'existence': 'unc_dx', 'observation': 'seizure'}}clinical findings_fin: {'completely excluded but appears': {'clinical finding': 'completely excluded but appears'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] The right frontal lobe especially both superior frontal gyrus and middle frontal gyrus show subtle swelling of cortex. In addition, the superior frontal sulcus and precentral sulcus demonstrated increased attenuation comparing to other sulci which show CSF attenuation. This may represent high proteinaceous content or blood products within the subarachnoid space. Constellation of above findings indicate possibility of blood brain barrier disruption such as acute ischemia, acute inflammatory changes or seizure. Artifactual finding cannot be completely excluded but appears to be less likely. Brain MRI with and without contrast could be considered for further evaluation. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>