No acute fracture or malalignment. There are multiple, well defined lucencies with sclerotic margins at the posteromedial metaphysis of the distal femur associated with cortical thinning, the largest of which measures 6.2 x 1.4 x 1.8 cm. The lucencies occupy approximately 20% of the width of the distal femoral metaphysis. No periosteal reaction. No soft tissue swelling or joint effusion.
clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}size_fin: [{'size': '6.2 x 1.4 x 1.8 cm', 'size_descriptor': 'lucencies'}]anatomical entity_fin: {'metaphysis': {}, 'femur': {'location descriptor': 'distal'}}imaging observation_fin: ['margins']location descriptor_fin: ['distal']clinical findings_fin: {'cortical thinning': {'clinical finding': 'cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thinning'}}anatomical entity_fin: {'metaphysis': {}}location descriptor_fin: ['distal']clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}}clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}, 'joint effusion': {'clinical finding': 'joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'joint', 'observation': 'effusion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}size_fin: [{'size': '6.2 x 1.4 x 1.8 cm', 'size_descriptor': 'lucencies'}]anatomical entity_fin: {'metaphysis': {}, 'femur': {'location descriptor': 'distal'}}imaging observation_fin: ['margins']location descriptor_fin: ['distal']clinical findings_fin: {'cortical thinning': {'clinical finding': 'cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thinning'}}anatomical entity_fin: {'metaphysis': {}}location descriptor_fin: ['distal']clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}}clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}, 'joint effusion': {'clinical finding': 'joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'joint', 'observation': 'effusion'}} [/INST] No acute fracture or malalignment. There are multiple, well defined lucencies with sclerotic margins at the posteromedial metaphysis of the distal femur associated with cortical thinning, the largest of which measures 6.2 x 1.4 x 1.8 cm. The lucencies occupy approximately 20% of the width of the distal femoral metaphysis. No periosteal reaction. No soft tissue swelling or joint effusion. </s>