There is moderate bilateral frontotemporal periventricular white matter hypoattenuation. In addition, there is patchy subcortical hypoattenuation in the frontal lobes. These findings are nonspecific but probably represent microvascular ischemia. There is mild, symmetric dilatation of the lateral ventricles and the other CSF-containing spaces, reflecting volume loss. There is no loss of gray-white matter differentiation. There is no intracranial hemorrhage, mass effect or midline shift. There is no extra-axial fluid collection. The orbits are notable for bilateral eye lens replacement as well as scleral calcification. The mastoid air cells and the paranasal sinuses are clear. There is no skull fracture or destructive lesion. There is severe atherosclerotic calcification of the cavernous internal carotid arteries and the intracranial left vertebral arteries.
location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral frontotemporal periventricular white matter hypoattenuation': {'clinical finding': 'moderate bilateral frontotemporal periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral frontotemporal periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'moderate'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy subcortical hypoattenuation': {'clinical finding': 'patchy subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy subcortical', 'observation': 'hypoattenuation'}}clinical findings_fin: {'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'extra-axial fluid collection': {'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'}}anatomical entity_fin: {'orbits': {}, 'eye': {'location descriptor': 'bilateral'}, 'lens': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scleral calcification': {'clinical finding': 'scleral calcification', 'existence': 'pos_dx', 'descriptive_term': 'scleral', 'observation': 'calcification'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'internal carotid arteries': {}, 'left vertebral arteries': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral frontotemporal periventricular white matter hypoattenuation': {'clinical finding': 'moderate bilateral frontotemporal periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral frontotemporal periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'moderate'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy subcortical hypoattenuation': {'clinical finding': 'patchy subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy subcortical', 'observation': 'hypoattenuation'}}clinical findings_fin: {'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'extra-axial fluid collection': {'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'}}anatomical entity_fin: {'orbits': {}, 'eye': {'location descriptor': 'bilateral'}, 'lens': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scleral calcification': {'clinical finding': 'scleral calcification', 'existence': 'pos_dx', 'descriptive_term': 'scleral', 'observation': 'calcification'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'internal carotid arteries': {}, 'left vertebral arteries': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}} [/INST] There is moderate bilateral frontotemporal periventricular white matter hypoattenuation. In addition, there is patchy subcortical hypoattenuation in the frontal lobes. These findings are nonspecific but probably represent microvascular ischemia. There is mild, symmetric dilatation of the lateral ventricles and the other CSF-containing spaces, reflecting volume loss. There is no loss of gray-white matter differentiation. There is no intracranial hemorrhage, mass effect or midline shift. There is no extra-axial fluid collection. The orbits are notable for bilateral eye lens replacement as well as scleral calcification. The mastoid air cells and the paranasal sinuses are clear. There is no skull fracture or destructive lesion. There is severe atherosclerotic calcification of the cavernous internal carotid arteries and the intracranial left vertebral arteries. </s>