There is metal artifact from the patients surgical hardware-related to prior mandibulectomy limiting the evaluation of the surrounding structures. Patient is status post right hemiglossectomy and neck dissection with flap reconstruction. Ill-defined infiltrative appearing enhancement along the margin of the flap and along the left tongue base region is similar to previous exam. No measurable mass lesions could be separately identified. There is frothy fluid accumulation in the nasopharynx. There is stranding of the subcutaneous tissues in the right anterior neck, unchanged. There is no significant lymphadenopathy. There is a tracheostomy tube with patent airways. The parotid and the submandibular glands are unremarkable. The thyroid gland is grossly normal. The major cervical vessels are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is ossification of posterior longitudinal ligament extending from C4 to C6. There is moderate spinal canal stenosis at C5-C6 level.
clinical findings_fin: {'metal artifact': {'clinical finding': 'metal artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal', 'observation': 'artifact'}, 'patients surgical hardware': {'clinical finding': 'patients surgical hardware', 'existence': 'pos_dx', 'descriptive_term': 'patients surgical', 'observation': 'hardware'}, 'prior mandibulectomy': {'clinical finding': 'prior mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'mandibulectomy'}}anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'tongue': {'location descriptor': 'left'}, 'base': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left']clinical findings_fin: {'ill-defined infiltrative appearing enhancement': {'clinical finding': 'ill-defined infiltrative appearing enhancement', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined infiltrative appearing', 'observation': 'enhancement', 'strength_term': 'ill-defined'}, 'flap': {'clinical finding': 'flap', 'existence': 'pos_dx', 'observation': 'flap'}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}clinical findings_fin: {'frothy': {'clinical finding': 'frothy', 'existence': 'pos_dx', 'observation': 'frothy'}}anatomical entity_fin: {'neck': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'airways': {}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are unremarkable': {'clinical finding': 'parotid and the submandibular glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is grossly normal': {'clinical finding': 'thyroid gland is grossly normal'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'ligament': {}}clinical findings_fin: {'ossification of posterior longitudinal ligament': {'clinical finding': 'ossification of posterior longitudinal ligament', 'cf_snomed': {'ossification of posterior longitudinal ligament': 90448008}, 'existence': 'pos_dx', 'descriptive_term': 'ossification of posterior longitudinal', 'observation': 'ligament'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'metal artifact': {'clinical finding': 'metal artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal', 'observation': 'artifact'}, 'patients surgical hardware': {'clinical finding': 'patients surgical hardware', 'existence': 'pos_dx', 'descriptive_term': 'patients surgical', 'observation': 'hardware'}, 'prior mandibulectomy': {'clinical finding': 'prior mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'mandibulectomy'}}anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'tongue': {'location descriptor': 'left'}, 'base': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left']clinical findings_fin: {'ill-defined infiltrative appearing enhancement': {'clinical finding': 'ill-defined infiltrative appearing enhancement', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined infiltrative appearing', 'observation': 'enhancement', 'strength_term': 'ill-defined'}, 'flap': {'clinical finding': 'flap', 'existence': 'pos_dx', 'observation': 'flap'}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}clinical findings_fin: {'frothy': {'clinical finding': 'frothy', 'existence': 'pos_dx', 'observation': 'frothy'}}anatomical entity_fin: {'neck': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'airways': {}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are unremarkable': {'clinical finding': 'parotid and the submandibular glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is grossly normal': {'clinical finding': 'thyroid gland is grossly normal'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'ligament': {}}clinical findings_fin: {'ossification of posterior longitudinal ligament': {'clinical finding': 'ossification of posterior longitudinal ligament', 'cf_snomed': {'ossification of posterior longitudinal ligament': 90448008}, 'existence': 'pos_dx', 'descriptive_term': 'ossification of posterior longitudinal', 'observation': 'ligament'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}} [/INST] There is metal artifact from the patients surgical hardware-related to prior mandibulectomy limiting the evaluation of the surrounding structures. Patient is status post right hemiglossectomy and neck dissection with flap reconstruction. Ill-defined infiltrative appearing enhancement along the margin of the flap and along the left tongue base region is similar to previous exam. No measurable mass lesions could be separately identified. There is frothy fluid accumulation in the nasopharynx. There is stranding of the subcutaneous tissues in the right anterior neck, unchanged. There is no significant lymphadenopathy. There is a tracheostomy tube with patent airways. The parotid and the submandibular glands are unremarkable. The thyroid gland is grossly normal. The major cervical vessels are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is ossification of posterior longitudinal ligament extending from C4 to C6. There is moderate spinal canal stenosis at C5-C6 level. </s>