No evidence of acute ischemic or hemorrhagic lesion on the scan. Multifocal nonspecific small vessel ischemic disease, no change since prior scan. Encephalomalacia on the left insular, bilateral thalami left periventricular white matter right parietal and frontal lobes indicate chronic ischemic infarct, no change since prior scan. Prominent ventricular system with ex focal changes of the left lateral ventricle, no change since prior scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear.
clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'multifocal nonspecific small vessel ischemic disease': {'clinical finding': 'multifocal nonspecific small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal nonspecific small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'frontal lobes': {}}location descriptor_fin: ['left', 'bilateral', 'right']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'chronic ischemic infarct': {'clinical finding': 'chronic ischemic infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'ex focal changes': {'clinical finding': 'ex focal changes', 'existence': 'pos_dx', 'descriptive_term': 'ex focal', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}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: clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'multifocal nonspecific small vessel ischemic disease': {'clinical finding': 'multifocal nonspecific small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal nonspecific small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'frontal lobes': {}}location descriptor_fin: ['left', 'bilateral', 'right']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'chronic ischemic infarct': {'clinical finding': 'chronic ischemic infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'ex focal changes': {'clinical finding': 'ex focal changes', 'existence': 'pos_dx', 'descriptive_term': 'ex focal', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}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] No evidence of acute ischemic or hemorrhagic lesion on the scan. Multifocal nonspecific small vessel ischemic disease, no change since prior scan. Encephalomalacia on the left insular, bilateral thalami left periventricular white matter right parietal and frontal lobes indicate chronic ischemic infarct, no change since prior scan. Prominent ventricular system with ex focal changes of the left lateral ventricle, no change since prior scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>