An external fixation frame is in place. This results in streak artifact which limits evaluation. The supraorbital frontal scalp has been retracted and reflected back. There has been removal of a large portion of the anterior frontal bone with unroofing of the frontal sinuses, consistent with bicoronal craniectomy. The intersinus septum is not well delineated. There is now a prominent air-fluid level predominantly in the left frontal sinus region. Overall, previously seen hyperdense material within the frontal sinuses is decreased, with remaining areas of hyperdensity in the right frontal sinus. Integrity of the floor of the frontal sinus is not well assessed without reformats. There are persistent areas of scattered hyperdensity throughout the remaining opacified paranasal sinuses, overall similar pattern of opacification when compared to the previous exam. There appears to be a prominent large sphenoidotomy. The left sphenoid sinus and posterior left ethmoid region appear relatively aerated. Posterior wall of the frontal sinus appears dehiscent in a few locations. Intracranial structures are grossly unremarkable.
location descriptor_fin: ['external']clinical findings_fin: {'external fixation frame': {'clinical finding': 'external fixation frame', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'frame'}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}anatomical entity_fin: {'scalp': {}, 'back': {}}location descriptor_fin: ['retracted']clinical findings_fin: {'retracted': {'clinical finding': 'retracted', 'existence': 'pos_dx', 'observation': 'retract'}}anatomical entity_fin: {'frontal bone': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'unroofing': {'clinical finding': 'unroofing', 'existence': 'pos_dx', 'observation': 'unroofing'}, 'bicoronal craniectomy': {'clinical finding': 'bicoronal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'bicoronal', 'observation': 'craniectomy'}}anatomical entity_fin: {'fluid': {}, 'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prominent air-fluid level': {'clinical finding': 'prominent air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'prominent air-fluid', 'observation': 'level', 'strength_term': 'prominent'}}anatomical entity_fin: {'frontal sinus': {}}location descriptor_fin: ['right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}anatomical entity_fin: {'floor': {}, 'frontal sinus': {}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered hyperdensity': {'clinical finding': 'scattered hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'hyperdensity'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'prominent large sphenoidotomy': {'clinical finding': 'prominent large sphenoidotomy', 'existence': 'pos_dx', 'descriptive_term': 'prominent large', 'observation': 'sphenoidotomy', 'strength_term': 'prominent - large'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'aerated': {'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior'}, 'frontal sinus': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'dehiscent': {'clinical finding': 'dehiscent', 'existence': 'pos_dx', 'observation': 'dehiscent'}}clinical findings_fin: {'intracranial structures are grossly unremarkable': {'clinical finding': 'intracranial structures are grossly unremarkable'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['external']clinical findings_fin: {'external fixation frame': {'clinical finding': 'external fixation frame', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'frame'}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}anatomical entity_fin: {'scalp': {}, 'back': {}}location descriptor_fin: ['retracted']clinical findings_fin: {'retracted': {'clinical finding': 'retracted', 'existence': 'pos_dx', 'observation': 'retract'}}anatomical entity_fin: {'frontal bone': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'unroofing': {'clinical finding': 'unroofing', 'existence': 'pos_dx', 'observation': 'unroofing'}, 'bicoronal craniectomy': {'clinical finding': 'bicoronal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'bicoronal', 'observation': 'craniectomy'}}anatomical entity_fin: {'fluid': {}, 'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prominent air-fluid level': {'clinical finding': 'prominent air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'prominent air-fluid', 'observation': 'level', 'strength_term': 'prominent'}}anatomical entity_fin: {'frontal sinus': {}}location descriptor_fin: ['right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}anatomical entity_fin: {'floor': {}, 'frontal sinus': {}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered hyperdensity': {'clinical finding': 'scattered hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'hyperdensity'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'prominent large sphenoidotomy': {'clinical finding': 'prominent large sphenoidotomy', 'existence': 'pos_dx', 'descriptive_term': 'prominent large', 'observation': 'sphenoidotomy', 'strength_term': 'prominent - large'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'aerated': {'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior'}, 'frontal sinus': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'dehiscent': {'clinical finding': 'dehiscent', 'existence': 'pos_dx', 'observation': 'dehiscent'}}clinical findings_fin: {'intracranial structures are grossly unremarkable': {'clinical finding': 'intracranial structures are grossly unremarkable'}} [/INST] An external fixation frame is in place. This results in streak artifact which limits evaluation. The supraorbital frontal scalp has been retracted and reflected back. There has been removal of a large portion of the anterior frontal bone with unroofing of the frontal sinuses, consistent with bicoronal craniectomy. The intersinus septum is not well delineated. There is now a prominent air-fluid level predominantly in the left frontal sinus region. Overall, previously seen hyperdense material within the frontal sinuses is decreased, with remaining areas of hyperdensity in the right frontal sinus. Integrity of the floor of the frontal sinus is not well assessed without reformats. There are persistent areas of scattered hyperdensity throughout the remaining opacified paranasal sinuses, overall similar pattern of opacification when compared to the previous exam. There appears to be a prominent large sphenoidotomy. The left sphenoid sinus and posterior left ethmoid region appear relatively aerated. Posterior wall of the frontal sinus appears dehiscent in a few locations. Intracranial structures are grossly unremarkable. </s>