There is no intracranial hemorrhage, edema, mass effect, midline shift, or abnormal extraaxial fluid collections. There are multiple areas of encephalomalacia involving the right frontal lobe, right lateral temporal lobe and left anterior temporal lobe, most compatible with old trauma. Global parenchymal volume loss and additional scattered periventricular and subcortical white matter hypoattenuation is compatible with age-indeterminate small vessel ischemic disease. There is ex vacuo dilatation of the lateral ventricles, right greater than left. Otherwise, the ventricles, sulci, and cisterns are symmetric and unremarkable. Prior right frontal craniotomy. There are defects in the right superior orbital wall, bilateral lateral orbital walls, and right posterior maxillary sinus, as well as a left anterior parietal burr hole. These findings have be related to prior trauma and or or surgery. The paranasal sinuses and mastoid air cells are clear. Right globe prosthesis.
anatomical entity_fin: {'fluid': {}}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'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, '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'}}anatomical entity_fin: {'right frontal lobe': {}, 'temporal lobe': {'location descriptor': 'left anterior'}}location descriptor_fin: ['right', 'lateral', 'left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'old trauma': {'clinical finding': 'old trauma', 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'trauma', 'temporal_term': 'old'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}, 'additional scattered periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'additional scattered periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered periventricular and subcortical white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'lateral ventricles': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'ex vacuo dilatation of the lateral ventricles , right greater': {'clinical finding': 'ex vacuo dilatation of the lateral ventricles , right greater', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'greater'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}location descriptor_fin: ['right']anatomical entity_fin: {'wall': {}, 'walls': {}, 'maxillary sinus': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'superior', 'bilateral', 'lateral', 'posterior', 'left', 'anterior']clinical findings_fin: {'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'left anterior parietal burr hole': {'clinical finding': 'left anterior parietal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left anterior parietal burr', 'observation': 'hole'}}clinical findings_fin: {'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['prosthesis']
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}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'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, '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'}}anatomical entity_fin: {'right frontal lobe': {}, 'temporal lobe': {'location descriptor': 'left anterior'}}location descriptor_fin: ['right', 'lateral', 'left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'old trauma': {'clinical finding': 'old trauma', 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'trauma', 'temporal_term': 'old'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}, 'additional scattered periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'additional scattered periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered periventricular and subcortical white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'lateral ventricles': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'ex vacuo dilatation of the lateral ventricles , right greater': {'clinical finding': 'ex vacuo dilatation of the lateral ventricles , right greater', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'greater'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}location descriptor_fin: ['right']anatomical entity_fin: {'wall': {}, 'walls': {}, 'maxillary sinus': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'superior', 'bilateral', 'lateral', 'posterior', 'left', 'anterior']clinical findings_fin: {'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'left anterior parietal burr hole': {'clinical finding': 'left anterior parietal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left anterior parietal burr', 'observation': 'hole'}}clinical findings_fin: {'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['prosthesis'] [/INST] There is no intracranial hemorrhage, edema, mass effect, midline shift, or abnormal extraaxial fluid collections. There are multiple areas of encephalomalacia involving the right frontal lobe, right lateral temporal lobe and left anterior temporal lobe, most compatible with old trauma. Global parenchymal volume loss and additional scattered periventricular and subcortical white matter hypoattenuation is compatible with age-indeterminate small vessel ischemic disease. There is ex vacuo dilatation of the lateral ventricles, right greater than left. Otherwise, the ventricles, sulci, and cisterns are symmetric and unremarkable. Prior right frontal craniotomy. There are defects in the right superior orbital wall, bilateral lateral orbital walls, and right posterior maxillary sinus, as well as a left anterior parietal burr hole. These findings have be related to prior trauma and or or surgery. The paranasal sinuses and mastoid air cells are clear. Right globe prosthesis. </s>