Findings related to partial laminectomy at C2 and complete laminectomy at C3 and C4 are redemonstrated. Posterior instrumented fusion has been performed with lateral mass screws affixed to stabilization rods bilaterally from C2 to C4. The instruments appear well-positioned with no significant complications suspected. Minimal periscrew lucency along the left C4 lateral mass screw is unchanged. Reversal of the cervical lordosis is seen similar to prior. Bulky ossification of the posterior longitudinal ligament is seen extending from C2 through C6. Partial vertebral body fusion is also unchanged from C4 through C6. There appears to be some degree of partial left facet fusion at C2-3, perhaps more so than on the prior examination. There also seems to be some partial fusion across the bilateral C4-5 facet joints similar to prior. Multilevel degenerative findings are redemonstrated without significant interval change. C2-3: Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. At least moderate right foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild effacement of the right ventral spinal canal. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild to moderate spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. No significant spinal canal or foraminal stenosis.
clinical findings_fin: {'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated': {'clinical finding': 'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated', 'cf_snomed': {'related': 262094002}}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior instrumented fusion': {'clinical finding': 'posterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'posterior instrumented', 'observation': 'fusion'}, 'lateral mass screws': {'clinical finding': 'lateral mass screws', 'existence': 'pos_dx', 'descriptive_term': 'lateral mass', 'observation': 'screw'}, 'stabilization rods': {'clinical finding': 'stabilization rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod'}}clinical findings_fin: {'significant complications': {'clinical finding': 'significant complications', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'complication'}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['left']clinical findings_fin: {'left c4 lateral mass screw': {'clinical finding': 'left c4 lateral mass screw', 'existence': 'pos_dx', 'descriptive_term': 'left c4 lateral mass', 'observation': 'screw'}}imaging observation_fin: ['reversal']clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'bulky ossification': {'clinical finding': 'bulky ossification', 'existence': 'pos_dx', 'descriptive_term': 'bulky', 'observation': 'ossification'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'partial vertebral body fusion': {'clinical finding': 'partial vertebral body fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial vertebral body', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partial left facet fusion': {'clinical finding': 'partial left facet fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial left facet', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {}, 'joints': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'some partial fusion': {'clinical finding': 'some partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'some partial', 'observation': 'fusion', 'strength_term': 'partial', 'quantity_term': 'some'}}clinical findings_fin: {'multilevel degenerative': {'clinical finding': 'multilevel degenerative', 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'degenerative'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'c2-3: posterior disc-osteophyte': {'clinical finding': 'c2-3: posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'c2-3 posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}location descriptor_fin: ['right']clinical findings_fin: {'at least moderate right foraminal narrowing': {'clinical finding': 'at least moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild effacement': {'clinical finding': 'mild effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'effacement', 'strength_term': 'mild'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild to moderate spinal canal stenosis': {'clinical finding': 'mild to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral foraminal narrowing': {'clinical finding': 'mild to moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal or foraminal stenosis': {'clinical finding': 'spinal canal or foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal or foraminal', 'observation': 'stenosis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated': {'clinical finding': 'findings related to partial laminectomy at c2 and complete laminectomy at c3 and c4 are redemonstrated', 'cf_snomed': {'related': 262094002}}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior instrumented fusion': {'clinical finding': 'posterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'posterior instrumented', 'observation': 'fusion'}, 'lateral mass screws': {'clinical finding': 'lateral mass screws', 'existence': 'pos_dx', 'descriptive_term': 'lateral mass', 'observation': 'screw'}, 'stabilization rods': {'clinical finding': 'stabilization rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod'}}clinical findings_fin: {'significant complications': {'clinical finding': 'significant complications', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'complication'}}anatomical entity_fin: {'lateral mass': {}}location descriptor_fin: ['left']clinical findings_fin: {'left c4 lateral mass screw': {'clinical finding': 'left c4 lateral mass screw', 'existence': 'pos_dx', 'descriptive_term': 'left c4 lateral mass', 'observation': 'screw'}}imaging observation_fin: ['reversal']clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'bulky ossification': {'clinical finding': 'bulky ossification', 'existence': 'pos_dx', 'descriptive_term': 'bulky', 'observation': 'ossification'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'partial vertebral body fusion': {'clinical finding': 'partial vertebral body fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial vertebral body', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partial left facet fusion': {'clinical finding': 'partial left facet fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial left facet', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'facet': {}, 'joints': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'some partial fusion': {'clinical finding': 'some partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'some partial', 'observation': 'fusion', 'strength_term': 'partial', 'quantity_term': 'some'}}clinical findings_fin: {'multilevel degenerative': {'clinical finding': 'multilevel degenerative', 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'degenerative'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'c2-3: posterior disc-osteophyte': {'clinical finding': 'c2-3: posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'c2-3 posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}location descriptor_fin: ['right']clinical findings_fin: {'at least moderate right foraminal narrowing': {'clinical finding': 'at least moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior spinal canal decompression': {'clinical finding': 'posterior spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal canal', 'observation': 'decompression'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild effacement': {'clinical finding': 'mild effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'effacement', 'strength_term': 'mild'}}clinical findings_fin: {'significant foraminal narrowing': {'clinical finding': 'significant foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'narrowing'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior disc-osteophyte': {'clinical finding': 'posterior disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'disc'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild to moderate spinal canal stenosis': {'clinical finding': 'mild to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral foraminal narrowing': {'clinical finding': 'mild to moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal or foraminal stenosis': {'clinical finding': 'spinal canal or foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal or foraminal', 'observation': 'stenosis'}} [/INST] Findings related to partial laminectomy at C2 and complete laminectomy at C3 and C4 are redemonstrated. Posterior instrumented fusion has been performed with lateral mass screws affixed to stabilization rods bilaterally from C2 to C4. The instruments appear well-positioned with no significant complications suspected. Minimal periscrew lucency along the left C4 lateral mass screw is unchanged. Reversal of the cervical lordosis is seen similar to prior. Bulky ossification of the posterior longitudinal ligament is seen extending from C2 through C6. Partial vertebral body fusion is also unchanged from C4 through C6. There appears to be some degree of partial left facet fusion at C2-3, perhaps more so than on the prior examination. There also seems to be some partial fusion across the bilateral C4-5 facet joints similar to prior. Multilevel degenerative findings are redemonstrated without significant interval change. C2-3: Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. At least moderate right foraminal narrowing. Posterior disc-osteophyte complex formation and ossification of the posterior longitudinal ligament asymmetric to the right. Posterior spinal canal decompression. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild effacement of the right ventral spinal canal. No significant foraminal narrowing. Posterior disc-osteophyte complex formation. Mild to moderate spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. No significant spinal canal or foraminal stenosis. </s>