A tracheostomy tube is in place with soft tissue thickening surrounding the stoma and along the ostomy tract. The supraglottic larynx is edematous and the typical anatomic architecture is distorted. The airway at this level appears to be completely effaced. Asymmetric soft tissue thickening is seen along the left paraglottic space. There appear to be pooling secretions within the lower pharynx and at the base of tongue on the right. Subcutaneous reticulation is seen in the soft tissues of the anterior neck. The fascial planes along the strap muscles are effaced. No pathologic adenopathy is detected by size criteria. The salivary glands are unremarkable. The divided thyroid is free of focal lesions. The cervical vessels appear to enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Emphysema and groundglass opacity is evident in the lung apices. Several small calcified nodules are also evident. Evidence of prior sinonasal surgery is seen. It appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most of the ethmoid air cells. The nasal septum is also deficient. Mucosal thickening is evident within the residual ethmoid air cells and along the small residual maxillary sinus walls. The mastoid air cells are largely clear. No destructive osseous lesions are seen elsewhere.
object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'stoma': {'clinical finding': 'stoma', 'cf_snomed': {'stoma': 245857005}, 'existence': 'pos_dx', 'observation': 'stoma'}}anatomical entity_fin: {'larynx': {}}clinical findings_fin: {'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}, 'typical anatomic architecture': {'clinical finding': 'typical anatomic architecture', 'existence': 'pos_dx', 'descriptive_term': 'typical anatomic', 'observation': 'architecture'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'paraglottic space': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'asymmetric soft tissue thickening': {'clinical finding': 'asymmetric soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'pharynx': {'location descriptor': 'lower'}, 'base': {}, 'tongue': {}}location descriptor_fin: ['lower', 'right']anatomical entity_fin: {'neck': {'location descriptor': 'anterior'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['anterior']clinical findings_fin: {'subcutaneous reticulation': {'clinical finding': 'subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'reticulation'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'several small calcified nodules': {'clinical finding': 'several small calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'several small calcified', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'change_term': 'calcified'}}clinical findings_fin: {'prior sinonasal surgery': {'clinical finding': 'prior sinonasal surgery', 'existence': 'pos_dx', 'descriptive_term': 'prior sinonasal', 'observation': 'surgery'}}anatomical entity_fin: {'middle': {}, 'cells': {}}location descriptor_fin: ['superior']clinical findings_fin: {'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most': {'clinical finding': 'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deficient': {'clinical finding': 'deficient', 'existence': 'pos_dx', 'observation': 'deficient'}}anatomical entity_fin: {'cells': {}, 'maxillary sinus': {}, 'walls': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'stoma': {'clinical finding': 'stoma', 'cf_snomed': {'stoma': 245857005}, 'existence': 'pos_dx', 'observation': 'stoma'}}anatomical entity_fin: {'larynx': {}}clinical findings_fin: {'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}, 'typical anatomic architecture': {'clinical finding': 'typical anatomic architecture', 'existence': 'pos_dx', 'descriptive_term': 'typical anatomic', 'observation': 'architecture'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'paraglottic space': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'asymmetric soft tissue thickening': {'clinical finding': 'asymmetric soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'pharynx': {'location descriptor': 'lower'}, 'base': {}, 'tongue': {}}location descriptor_fin: ['lower', 'right']anatomical entity_fin: {'neck': {'location descriptor': 'anterior'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['anterior']clinical findings_fin: {'subcutaneous reticulation': {'clinical finding': 'subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'reticulation'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'several small calcified nodules': {'clinical finding': 'several small calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'several small calcified', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'change_term': 'calcified'}}clinical findings_fin: {'prior sinonasal surgery': {'clinical finding': 'prior sinonasal surgery', 'existence': 'pos_dx', 'descriptive_term': 'prior sinonasal', 'observation': 'surgery'}}anatomical entity_fin: {'middle': {}, 'cells': {}}location descriptor_fin: ['superior']clinical findings_fin: {'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most': {'clinical finding': 'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deficient': {'clinical finding': 'deficient', 'existence': 'pos_dx', 'observation': 'deficient'}}anatomical entity_fin: {'cells': {}, 'maxillary sinus': {}, 'walls': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}} [/INST] A tracheostomy tube is in place with soft tissue thickening surrounding the stoma and along the ostomy tract. The supraglottic larynx is edematous and the typical anatomic architecture is distorted. The airway at this level appears to be completely effaced. Asymmetric soft tissue thickening is seen along the left paraglottic space. There appear to be pooling secretions within the lower pharynx and at the base of tongue on the right. Subcutaneous reticulation is seen in the soft tissues of the anterior neck. The fascial planes along the strap muscles are effaced. No pathologic adenopathy is detected by size criteria. The salivary glands are unremarkable. The divided thyroid is free of focal lesions. The cervical vessels appear to enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Emphysema and groundglass opacity is evident in the lung apices. Several small calcified nodules are also evident. Evidence of prior sinonasal surgery is seen. It appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most of the ethmoid air cells. The nasal septum is also deficient. Mucosal thickening is evident within the residual ethmoid air cells and along the small residual maxillary sinus walls. The mastoid air cells are largely clear. No destructive osseous lesions are seen elsewhere. </s>