There is extensive osseous destruction with a pathological compression fracture and an associated soft tissue mass consistent with a metastasis involving the T10 vertebral body. There is posterior extension of the soft tissue into the spinal canal, resulting in severe extradural spinal cord compression at this level. There is evidence of severe narrowing of the right neural foramen and mild narrowing of the left intervertebral foramen at T10-11. There are also left lateral bridging osteophytes at T9-10 and T10-11, as well as across the lateral T8-9 disc space. The tumor arising form the T10 vertebra also extends to involve the paraspinal region, right more than the left. There is cement within the T10 vertebral body. There is a lytic metastasis in the anterior T5 vertebral body with associated mild superior endplate concavity. There is no appreciable retropulsion or spinal cord compression at this level. There also appears to be a small lytic metastasis within the posterior T1 vertebral body. The vertebral column alignment is near-anatomic. There are bilateral small pleural effusions and bibasilar segmental atelectasis.
anatomical entity_fin: {'osseous': {}, 'soft tissue': {}, 't10 vertebral body': {}}clinical findings_fin: {'extensive osseous destruction': {'clinical finding': 'extensive osseous destruction', 'existence': 'pos_dx', 'descriptive_term': 'extensive osseous', 'observation': 'destruction', 'strength_term': 'extensive'}, 'pathological compression fracture': {'clinical finding': 'pathological compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'pathological compression', 'observation': 'fracture'}, 'associated soft tissue mass': {'clinical finding': 'associated soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'associated soft tissue', 'observation': 'mass'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'pos_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'spinal canal': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'severe extradural spinal cord compression': {'clinical finding': 'severe extradural spinal cord compression', 'cf_snomed': {'spinal cord compression': 71286001}, 'existence': 'pos_dx', 'descriptive_term': 'severe extradural spinal cord', 'observation': 'compression', 'strength_term': 'severe'}}anatomical entity_fin: {'neural foramen': {'location descriptor': 'right'}, 'intervertebral foramen': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}, 'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}}location descriptor_fin: ['left', 'lateral']clinical findings_fin: {'left lateral bridging osteophytes': {'clinical finding': 'left lateral bridging osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'left lateral bridging', 'observation': 'osteophyte'}}anatomical entity_fin: {'vertebra': {}, 'paraspinal': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'t10 vertebral body': {}}anatomical entity_fin: {'t5 vertebral body': {'location descriptor': 'anterior'}, 'endplate': {'location descriptor': 'superior'}}location descriptor_fin: ['anterior', 'superior']clinical findings_fin: {'lytic metastasis': {'clinical finding': 'lytic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastasis'}, 'associated mild superior endplate concavity': {'clinical finding': 'associated mild superior endplate concavity', 'existence': 'pos_dx', 'descriptive_term': 'associated mild superior endplate', 'observation': 'concavity', 'strength_term': 'mild - superior'}}anatomical entity_fin: {'spinal cord': {}}clinical findings_fin: {'spinal cord compression': {'clinical finding': 'spinal cord compression', 'cf_snomed': {'spinal cord compression': 71286001}, 'existence': 'neg_dx', 'descriptive_term': 'spinal cord', 'observation': 'compression'}}anatomical entity_fin: {'t1 vertebral body': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'small lytic metastasis': {'clinical finding': 'small lytic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'small lytic', 'observation': 'metastasis', 'strength_term': 'small'}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral small pleural effusions': {'clinical finding': 'bilateral small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral small pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'bibasilar segmental atelectasis': {'clinical finding': 'bibasilar segmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar segmental', 'observation': 'atelectasis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'osseous': {}, 'soft tissue': {}, 't10 vertebral body': {}}clinical findings_fin: {'extensive osseous destruction': {'clinical finding': 'extensive osseous destruction', 'existence': 'pos_dx', 'descriptive_term': 'extensive osseous', 'observation': 'destruction', 'strength_term': 'extensive'}, 'pathological compression fracture': {'clinical finding': 'pathological compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'pathological compression', 'observation': 'fracture'}, 'associated soft tissue mass': {'clinical finding': 'associated soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'associated soft tissue', 'observation': 'mass'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'pos_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'spinal canal': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'severe extradural spinal cord compression': {'clinical finding': 'severe extradural spinal cord compression', 'cf_snomed': {'spinal cord compression': 71286001}, 'existence': 'pos_dx', 'descriptive_term': 'severe extradural spinal cord', 'observation': 'compression', 'strength_term': 'severe'}}anatomical entity_fin: {'neural foramen': {'location descriptor': 'right'}, 'intervertebral foramen': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}, 'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}}location descriptor_fin: ['left', 'lateral']clinical findings_fin: {'left lateral bridging osteophytes': {'clinical finding': 'left lateral bridging osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'left lateral bridging', 'observation': 'osteophyte'}}anatomical entity_fin: {'vertebra': {}, 'paraspinal': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'t10 vertebral body': {}}anatomical entity_fin: {'t5 vertebral body': {'location descriptor': 'anterior'}, 'endplate': {'location descriptor': 'superior'}}location descriptor_fin: ['anterior', 'superior']clinical findings_fin: {'lytic metastasis': {'clinical finding': 'lytic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastasis'}, 'associated mild superior endplate concavity': {'clinical finding': 'associated mild superior endplate concavity', 'existence': 'pos_dx', 'descriptive_term': 'associated mild superior endplate', 'observation': 'concavity', 'strength_term': 'mild - superior'}}anatomical entity_fin: {'spinal cord': {}}clinical findings_fin: {'spinal cord compression': {'clinical finding': 'spinal cord compression', 'cf_snomed': {'spinal cord compression': 71286001}, 'existence': 'neg_dx', 'descriptive_term': 'spinal cord', 'observation': 'compression'}}anatomical entity_fin: {'t1 vertebral body': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'small lytic metastasis': {'clinical finding': 'small lytic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'small lytic', 'observation': 'metastasis', 'strength_term': 'small'}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral small pleural effusions': {'clinical finding': 'bilateral small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral small pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'bibasilar segmental atelectasis': {'clinical finding': 'bibasilar segmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar segmental', 'observation': 'atelectasis'}} [/INST] There is extensive osseous destruction with a pathological compression fracture and an associated soft tissue mass consistent with a metastasis involving the T10 vertebral body. There is posterior extension of the soft tissue into the spinal canal, resulting in severe extradural spinal cord compression at this level. There is evidence of severe narrowing of the right neural foramen and mild narrowing of the left intervertebral foramen at T10-11. There are also left lateral bridging osteophytes at T9-10 and T10-11, as well as across the lateral T8-9 disc space. The tumor arising form the T10 vertebra also extends to involve the paraspinal region, right more than the left. There is cement within the T10 vertebral body. There is a lytic metastasis in the anterior T5 vertebral body with associated mild superior endplate concavity. There is no appreciable retropulsion or spinal cord compression at this level. There also appears to be a small lytic metastasis within the posterior T1 vertebral body. The vertebral column alignment is near-anatomic. There are bilateral small pleural effusions and bibasilar segmental atelectasis. </s>