The vertebral body heights are preserved. At L1-L2 and L2-L3, there are mild disc bulges that result in mild spinal canal stenosis without neural foramen stenosis. At L3-L4, there is a mild disc bulge, as well as a superimposed right foraminal herniation that results in severe right neural foramen stenosis. There are postoperative findings at L4-L5 related to transpedicular screws and stabilizing rods as well as an interbody spacer and bone graft material. The hardware is intact. There has also been a bilateral facetectomy and L4 right hemilaminectomy. There is a grade 1 anterolisthesis of L4 upon L5. Streak artifact and postoperative changes at this level limits spinal canal and neural foramen evaluation. At L5-S1, there is a minimal disc bulge without significant spinal canal or neural foramen stenosis. There is atherosclerotic calcification of aorta and branch vessels.
anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramen': {}}clinical findings_fin: {'mild disc bulges': {'clinical finding': 'mild disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'mild spinal canal stenosis': {'clinical finding': 'mild spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'neural foramen stenosis': {'clinical finding': 'neural foramen stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foramen', 'observation': 'stenosis'}}anatomical entity_fin: {'neural foramen': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'superimposed right foraminal herniation': {'clinical finding': 'superimposed right foraminal herniation', 'existence': 'pos_dx', 'descriptive_term': 'superimposed right foraminal', 'observation': 'herniation'}, 'severe right neural foramen stenosis': {'clinical finding': 'severe right neural foramen stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe right neural foramen', 'observation': 'stenosis', 'strength_term': 'severe'}}anatomical entity_fin: {'bone graft': {}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'transpedicular screws': {'clinical finding': 'transpedicular screws', 'existence': 'pos_dx', 'descriptive_term': 'transpedicular', 'observation': 'screw'}, 'stabilizing rods': {'clinical finding': 'stabilizing rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilizing', 'observation': 'rod'}, 'interbody spacer': {'clinical finding': 'interbody spacer', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}, 'bone graft material': {'clinical finding': 'bone graft material', 'existence': 'pos_dx', 'descriptive_term': 'bone graft', 'observation': 'material'}}clinical findings_fin: {'hardware': {'clinical finding': 'hardware', 'existence': 'pos_dx', 'observation': 'hardware'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral facetectomy': {'clinical finding': 'bilateral facetectomy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'facetectomy'}, 'l4 right hemilaminectomy': {'clinical finding': 'l4 right hemilaminectomy', 'existence': 'pos_dx', 'descriptive_term': 'l4 right', 'observation': 'hemilaminectomy'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}anatomical entity_fin: {'spinal canal': {}, 'foramen': {}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramen': {}}clinical findings_fin: {'minimal disc bulge': {'clinical finding': 'minimal disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'minimal disc', 'observation': 'bulge', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant spinal canal or neural foramen stenosis': {'clinical finding': 'significant spinal canal or neural foramen stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'significant spinal canal or neural foramen', 'observation': 'stenosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramen': {}}clinical findings_fin: {'mild disc bulges': {'clinical finding': 'mild disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'mild spinal canal stenosis': {'clinical finding': 'mild spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'neural foramen stenosis': {'clinical finding': 'neural foramen stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foramen', 'observation': 'stenosis'}}anatomical entity_fin: {'neural foramen': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'superimposed right foraminal herniation': {'clinical finding': 'superimposed right foraminal herniation', 'existence': 'pos_dx', 'descriptive_term': 'superimposed right foraminal', 'observation': 'herniation'}, 'severe right neural foramen stenosis': {'clinical finding': 'severe right neural foramen stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe right neural foramen', 'observation': 'stenosis', 'strength_term': 'severe'}}anatomical entity_fin: {'bone graft': {}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'transpedicular screws': {'clinical finding': 'transpedicular screws', 'existence': 'pos_dx', 'descriptive_term': 'transpedicular', 'observation': 'screw'}, 'stabilizing rods': {'clinical finding': 'stabilizing rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilizing', 'observation': 'rod'}, 'interbody spacer': {'clinical finding': 'interbody spacer', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}, 'bone graft material': {'clinical finding': 'bone graft material', 'existence': 'pos_dx', 'descriptive_term': 'bone graft', 'observation': 'material'}}clinical findings_fin: {'hardware': {'clinical finding': 'hardware', 'existence': 'pos_dx', 'observation': 'hardware'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral facetectomy': {'clinical finding': 'bilateral facetectomy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'facetectomy'}, 'l4 right hemilaminectomy': {'clinical finding': 'l4 right hemilaminectomy', 'existence': 'pos_dx', 'descriptive_term': 'l4 right', 'observation': 'hemilaminectomy'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}anatomical entity_fin: {'spinal canal': {}, 'foramen': {}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramen': {}}clinical findings_fin: {'minimal disc bulge': {'clinical finding': 'minimal disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'minimal disc', 'observation': 'bulge', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant spinal canal or neural foramen stenosis': {'clinical finding': 'significant spinal canal or neural foramen stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'significant spinal canal or neural foramen', 'observation': 'stenosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}} [/INST] The vertebral body heights are preserved. At L1-L2 and L2-L3, there are mild disc bulges that result in mild spinal canal stenosis without neural foramen stenosis. At L3-L4, there is a mild disc bulge, as well as a superimposed right foraminal herniation that results in severe right neural foramen stenosis. There are postoperative findings at L4-L5 related to transpedicular screws and stabilizing rods as well as an interbody spacer and bone graft material. The hardware is intact. There has also been a bilateral facetectomy and L4 right hemilaminectomy. There is a grade 1 anterolisthesis of L4 upon L5. Streak artifact and postoperative changes at this level limits spinal canal and neural foramen evaluation. At L5-S1, there is a minimal disc bulge without significant spinal canal or neural foramen stenosis. There is atherosclerotic calcification of aorta and branch vessels. </s>