There are numerous lytic lesions within the calvarium that were not prior on the comparison study consistent with metastases as demonstrated on previous bone scan. A few of the larger lesions have eroded through the inner cortex and abuts the dura, however without evidence of underlying brain parenchymal invasion. The ventricles and sulci are normal in size. There are no parenchymal masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear.
clinical findings_fin: {'numerous lytic lesions': {'clinical finding': 'numerous lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lytic', 'observation': 'lesion', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'cortex': {}, 'brain': {}}clinical findings_fin: {'larger lesions': {'clinical finding': 'larger lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'larger', 'observation': 'lesion'}, 'underlying brain parenchymal invasion': {'clinical finding': 'underlying brain parenchymal invasion', 'existence': 'neg_dx', 'descriptive_term': 'underlying brain parenchymal', 'observation': 'invasion'}}clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'parenchymal masses': {'clinical finding': 'parenchymal masses', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'mass'}, '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: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'acute cerebral or cerebellar cortical infarction': {'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'numerous lytic lesions': {'clinical finding': 'numerous lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lytic', 'observation': 'lesion', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'cortex': {}, 'brain': {}}clinical findings_fin: {'larger lesions': {'clinical finding': 'larger lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'larger', 'observation': 'lesion'}, 'underlying brain parenchymal invasion': {'clinical finding': 'underlying brain parenchymal invasion', 'existence': 'neg_dx', 'descriptive_term': 'underlying brain parenchymal', 'observation': 'invasion'}}clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'parenchymal masses': {'clinical finding': 'parenchymal masses', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'mass'}, '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: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'acute cerebral or cerebellar cortical infarction': {'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There are numerous lytic lesions within the calvarium that were not prior on the comparison study consistent with metastases as demonstrated on previous bone scan. A few of the larger lesions have eroded through the inner cortex and abuts the dura, however without evidence of underlying brain parenchymal invasion. The ventricles and sulci are normal in size. There are no parenchymal masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. </s>