.There is no evidence of fracture or traumatic subluxation in the cervical spine. The cervical vertebral bodies are appropriate in overall alignment and height. There is straightening of the cervical spine, which may be positional. There is no significant spinal canal stenosis or neural foraminal stenosis at any level. Minimal disc bulges are seen at the C4-C5 and C6-C7 levels. There is mild edema of the posterior lower cervical subcutaneous tissues, which is nonspecific and be related to prolonged decubitus status or hypervolemia, for example. There is a minimally displaced fracture of the T1 spinous process that appears corticated and is likely subacute to chronic. There is an additional minimally displaced fractures of the left transverse process of T12 which appears subacute. The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or neural foramina. Patchy ground glass opacities are seen in the right upper and right lower lobes which may represent pneumonitis. Five lumbar type vertebral bodies are present which are appropriate in overall alignment and height. There are additional minimally displaced fractures of the left transverse processes L1, L2, L3, and L4 which also appear subacute. There is periosteal reaction with early callus formation. Sclerotic foci involving the right L5 pedicle and left iliac bone are compatible with bone islands. Minimal disc bulges in the lower lumbar spine. There is no significant spinal canal or neural foraminal stenosis at any level in the lumbar spine.
anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'traumatic subluxation': {'clinical finding': 'traumatic subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'descriptive_term': 'traumatic', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spine': {}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'minimal disc bulges': {'clinical finding': 'minimal disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'minimal disc', 'observation': 'bulge', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['posterior', 'lower']clinical findings_fin: {'mild edema': {'clinical finding': 'mild edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild'}, 'prolonged decubitus': {'clinical finding': 'prolonged decubitus', 'existence': 'unc_dx', 'descriptive_term': 'prolonged', 'observation': 'decubitus'}, 'hypervolemia': {'clinical finding': 'hypervolemia', 'cf_snomed': {'hypervolemia': 21639008}, 'existence': 'unc_dx', 'observation': 'hypervolemia'}}anatomical entity_fin: {'spinous': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'minimally displaced fracture': {'clinical finding': 'minimally displaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'transverse process': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'thoracic vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spinal canal': {}, 'foramina': {}}anatomical entity_fin: {'lobes': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: {'patchy ground glass opacities': {'clinical finding': 'patchy ground glass opacities', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity'}, 'pneumonitis': {'clinical finding': 'pneumonitis', 'cf_snomed': {'pneumonitis': 205237003}, 'existence': 'unc_dx', 'observation': 'pneumonitis'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'lumbar type vertebral bodies are present which are appropriate': {'clinical finding': 'lumbar type vertebral bodies are present which are appropriate'}}anatomical entity_fin: {'transverse processes': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}, 'early callus formation': {'clinical finding': 'early callus formation', 'existence': 'pos_dx', 'descriptive_term': 'early callus', 'observation': 'formation'}}anatomical entity_fin: {'bone': {}}imaging observation_fin: ['foci', 'pedicle']location descriptor_fin: ['right', 'left']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'disc bulges': {'clinical finding': 'disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'spinal canal': {}, 'spine': {}}clinical findings_fin: {'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'traumatic subluxation': {'clinical finding': 'traumatic subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'descriptive_term': 'traumatic', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spine': {}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'minimal disc bulges': {'clinical finding': 'minimal disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'minimal disc', 'observation': 'bulge', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['posterior', 'lower']clinical findings_fin: {'mild edema': {'clinical finding': 'mild edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild'}, 'prolonged decubitus': {'clinical finding': 'prolonged decubitus', 'existence': 'unc_dx', 'descriptive_term': 'prolonged', 'observation': 'decubitus'}, 'hypervolemia': {'clinical finding': 'hypervolemia', 'cf_snomed': {'hypervolemia': 21639008}, 'existence': 'unc_dx', 'observation': 'hypervolemia'}}anatomical entity_fin: {'spinous': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'minimally displaced fracture': {'clinical finding': 'minimally displaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'transverse process': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'thoracic vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spinal canal': {}, 'foramina': {}}anatomical entity_fin: {'lobes': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: {'patchy ground glass opacities': {'clinical finding': 'patchy ground glass opacities', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity'}, 'pneumonitis': {'clinical finding': 'pneumonitis', 'cf_snomed': {'pneumonitis': 205237003}, 'existence': 'unc_dx', 'observation': 'pneumonitis'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'lumbar type vertebral bodies are present which are appropriate': {'clinical finding': 'lumbar type vertebral bodies are present which are appropriate'}}anatomical entity_fin: {'transverse processes': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}, 'early callus formation': {'clinical finding': 'early callus formation', 'existence': 'pos_dx', 'descriptive_term': 'early callus', 'observation': 'formation'}}anatomical entity_fin: {'bone': {}}imaging observation_fin: ['foci', 'pedicle']location descriptor_fin: ['right', 'left']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'disc bulges': {'clinical finding': 'disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'spinal canal': {}, 'spine': {}}clinical findings_fin: {'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}} [/INST] .There is no evidence of fracture or traumatic subluxation in the cervical spine. The cervical vertebral bodies are appropriate in overall alignment and height. There is straightening of the cervical spine, which may be positional. There is no significant spinal canal stenosis or neural foraminal stenosis at any level. Minimal disc bulges are seen at the C4-C5 and C6-C7 levels. There is mild edema of the posterior lower cervical subcutaneous tissues, which is nonspecific and be related to prolonged decubitus status or hypervolemia, for example. There is a minimally displaced fracture of the T1 spinous process that appears corticated and is likely subacute to chronic. There is an additional minimally displaced fractures of the left transverse process of T12 which appears subacute. The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or neural foramina. Patchy ground glass opacities are seen in the right upper and right lower lobes which may represent pneumonitis. Five lumbar type vertebral bodies are present which are appropriate in overall alignment and height. There are additional minimally displaced fractures of the left transverse processes L1, L2, L3, and L4 which also appear subacute. There is periosteal reaction with early callus formation. Sclerotic foci involving the right L5 pedicle and left iliac bone are compatible with bone islands. Minimal disc bulges in the lower lumbar spine. There is no significant spinal canal or neural foraminal stenosis at any level in the lumbar spine. </s>