. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are post-treatment findings related to right parotidectomy and lateral temporal bone resection as well as radiation therapy. There is persistent extensive soft tissue deficiency in the surgical bed region with dehiscent skin and graft material and exposure of the underlying right posterior mandible, where there is demineralization of the posterior right mandible, now with pathologic fracture of the condyle. There is persistent stranding of the regional fat planes, but no evidence of measurable mass lesions in the treatment bed or significant cervical lymphadenopathy based on size criteria. The remaining salivary glands and thyroid appear unchanged. There is plaque at the bilateral carotid bifurcations. The airways are patent. The imaged intracranial structures are unremarkable. There are subcentimeter nodules, tree-in-bud opacities, and emphysematous changes in the partially-imaged lungs.
clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'temporal bone': {'location descriptor': 'lateral'}}location descriptor_fin: ['right', 'lateral']procedure_fin: ['treatment']anatomical entity_fin: {'skin': {}, 'graft': {}, 'mandible': {'location descriptor': 'posterior right'}, 'condyle': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'persistent extensive soft tissue deficiency': {'clinical finding': 'persistent extensive soft tissue deficiency', 'existence': 'pos_dx', 'descriptive_term': 'persistent extensive soft tissue', 'observation': 'deficiency', 'strength_term': 'extensive', 'temporal_term': 'persistent'}, 'demineralization': {'clinical finding': 'demineralization', 'existence': 'pos_dx', 'observation': 'demineralization'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}imaging observation_fin: ['fat']procedure_fin: ['treatment']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'remaining salivary glands and thyroid appear unchanged': {'clinical finding': 'remaining salivary glands and thyroid appear unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'subcentimeter nodules': {'clinical finding': 'subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'temporal bone': {'location descriptor': 'lateral'}}location descriptor_fin: ['right', 'lateral']procedure_fin: ['treatment']anatomical entity_fin: {'skin': {}, 'graft': {}, 'mandible': {'location descriptor': 'posterior right'}, 'condyle': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'persistent extensive soft tissue deficiency': {'clinical finding': 'persistent extensive soft tissue deficiency', 'existence': 'pos_dx', 'descriptive_term': 'persistent extensive soft tissue', 'observation': 'deficiency', 'strength_term': 'extensive', 'temporal_term': 'persistent'}, 'demineralization': {'clinical finding': 'demineralization', 'existence': 'pos_dx', 'observation': 'demineralization'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}imaging observation_fin: ['fat']procedure_fin: ['treatment']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'remaining salivary glands and thyroid appear unchanged': {'clinical finding': 'remaining salivary glands and thyroid appear unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'subcentimeter nodules': {'clinical finding': 'subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}} [/INST] . There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are post-treatment findings related to right parotidectomy and lateral temporal bone resection as well as radiation therapy. There is persistent extensive soft tissue deficiency in the surgical bed region with dehiscent skin and graft material and exposure of the underlying right posterior mandible, where there is demineralization of the posterior right mandible, now with pathologic fracture of the condyle. There is persistent stranding of the regional fat planes, but no evidence of measurable mass lesions in the treatment bed or significant cervical lymphadenopathy based on size criteria. The remaining salivary glands and thyroid appear unchanged. There is plaque at the bilateral carotid bifurcations. The airways are patent. The imaged intracranial structures are unremarkable. There are subcentimeter nodules, tree-in-bud opacities, and emphysematous changes in the partially-imaged lungs. </s>