For the purposes of numbering, there are 5 lumbar type vertebral bodies with transitional morphology of L5. Vertebral body heights are maintained. There is no acute fracture. Postoperative changes are demonstrated with pedicle screw and rod fixation of the L4 and L5 vertebrae bilaterally as well as partial L4 laminectomy without apparent complication. Amorphous bone graft is visualized along the posterior elements at these levels. There is redemonstration of grade 1 L4 on L5 anterolisthesis and T11 hemangioma, unchanged from prior. The previously described conus lipoma is redemonstrated but incompletely visualized with streak artifact. Incidentally noted left thyroid nodule. At L1-2 there is no significant compromise to spinal canal or neural foramina. At L2-3 there is no significant compromise to spinal canal or neural foramina. At L3-4 there is no significant compromise to spinal canal or neural foramina. At L4-5 Mild diffuse disk bulge with uncovering. Severe right and moderate left facet arthropathy. Streak artifact limits assessment of spinal canal. Moderate to severe right and minimal left neural foraminal stenosis. At L5-S1 there is no significant compromise to spinal canal or neural foramina. Paraspinous soft tissues are within normal limits.
anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'transitional morphology': {'clinical finding': 'transitional morphology', 'existence': 'pos_dx', 'descriptive_term': 'transitional', 'observation': 'morphology'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'vertebrae': {}}object_fin: ['pedicle screw']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'pedicle screw and rod fixation': {'clinical finding': 'pedicle screw and rod fixation', 'existence': 'pos_dx', 'descriptive_term': 'pedicle screw and rod', 'observation': 'fixation'}, 'apparent complication': {'clinical finding': 'apparent complication', 'existence': 'pos_dx', 'descriptive_term': 'apparent', 'observation': 'complication'}}anatomical entity_fin: {'bone graft': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'amorphous bone graft': {'clinical finding': 'amorphous bone graft', 'existence': 'pos_dx', 'descriptive_term': 'amorphous bone', 'observation': 'graft'}}clinical findings_fin: {'l5 anterolisthesis': {'clinical finding': 'l5 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'l5', 'observation': 'anterolisthesis'}, 't11 hemangioma': {'clinical finding': 't11 hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 't11', 'observation': 'hemangioma'}}clinical findings_fin: {'previously described conus lipoma': {'clinical finding': 'previously described conus lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'previously described conus', 'observation': 'lipoma'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['left']clinical findings_fin: {'incidentally noted left thyroid nodule': {'clinical finding': 'incidentally noted left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'incidentally noted left thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l2 - 3 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l2 - 3 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l3 - 4 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l3 - 4 there is no significant compromise to spinal canal or neural foramina'}}clinical findings_fin: {'mild diffuse disk bulge with uncovering': {'clinical finding': 'mild diffuse disk bulge with uncovering'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'spinal canal': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right and minimal left neural foraminal stenosis': {'clinical finding': 'moderate to severe right and minimal left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right and minimal left neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe - minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal or neural foramina'}}clinical findings_fin: {'paraspinous soft tissues are within normal limits': {'clinical finding': 'paraspinous soft tissues are within normal limits'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'transitional morphology': {'clinical finding': 'transitional morphology', 'existence': 'pos_dx', 'descriptive_term': 'transitional', 'observation': 'morphology'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'vertebrae': {}}object_fin: ['pedicle screw']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'pedicle screw and rod fixation': {'clinical finding': 'pedicle screw and rod fixation', 'existence': 'pos_dx', 'descriptive_term': 'pedicle screw and rod', 'observation': 'fixation'}, 'apparent complication': {'clinical finding': 'apparent complication', 'existence': 'pos_dx', 'descriptive_term': 'apparent', 'observation': 'complication'}}anatomical entity_fin: {'bone graft': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'amorphous bone graft': {'clinical finding': 'amorphous bone graft', 'existence': 'pos_dx', 'descriptive_term': 'amorphous bone', 'observation': 'graft'}}clinical findings_fin: {'l5 anterolisthesis': {'clinical finding': 'l5 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'l5', 'observation': 'anterolisthesis'}, 't11 hemangioma': {'clinical finding': 't11 hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 't11', 'observation': 'hemangioma'}}clinical findings_fin: {'previously described conus lipoma': {'clinical finding': 'previously described conus lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'previously described conus', 'observation': 'lipoma'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['left']clinical findings_fin: {'incidentally noted left thyroid nodule': {'clinical finding': 'incidentally noted left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'incidentally noted left thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l2 - 3 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l2 - 3 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l3 - 4 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l3 - 4 there is no significant compromise to spinal canal or neural foramina'}}clinical findings_fin: {'mild diffuse disk bulge with uncovering': {'clinical finding': 'mild diffuse disk bulge with uncovering'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'spinal canal': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right and minimal left neural foraminal stenosis': {'clinical finding': 'moderate to severe right and minimal left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right and minimal left neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe - minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal or neural foramina'}}clinical findings_fin: {'paraspinous soft tissues are within normal limits': {'clinical finding': 'paraspinous soft tissues are within normal limits'}} [/INST] For the purposes of numbering, there are 5 lumbar type vertebral bodies with transitional morphology of L5. Vertebral body heights are maintained. There is no acute fracture. Postoperative changes are demonstrated with pedicle screw and rod fixation of the L4 and L5 vertebrae bilaterally as well as partial L4 laminectomy without apparent complication. Amorphous bone graft is visualized along the posterior elements at these levels. There is redemonstration of grade 1 L4 on L5 anterolisthesis and T11 hemangioma, unchanged from prior. The previously described conus lipoma is redemonstrated but incompletely visualized with streak artifact. Incidentally noted left thyroid nodule. At L1-2 there is no significant compromise to spinal canal or neural foramina. At L2-3 there is no significant compromise to spinal canal or neural foramina. At L3-4 there is no significant compromise to spinal canal or neural foramina. At L4-5 Mild diffuse disk bulge with uncovering. Severe right and moderate left facet arthropathy. Streak artifact limits assessment of spinal canal. Moderate to severe right and minimal left neural foraminal stenosis. At L5-S1 there is no significant compromise to spinal canal or neural foramina. Paraspinous soft tissues are within normal limits. </s>