There has been interval progression of abnormal lucency and sclerosis along the left posterior mandibular body. This is heterogeneous in appearance, with focal areas of buccal cortex discontinuity now noted. There is also a longer area of lingual cortex discontinuity. There are areas of wall of the left mandibular canal, best appreciated on coronal images. This area of abnormality is in the expected location of ADA #17 through 19. There may be a residual root of ADA #18. Abnormal periradicular and periapical lucency is also seen associated with tooth number 30 through 32, as well as 19. There is a dental caries associated with tooth #22. Stable discontinuity is seen along the right maxillary alveolar process in the expected location of ADA #5 and ADA #8 and 9 are absent. There is again significant deformity of the nasal bones bilaterally, presumably relating to previous trauma. There is also abnormality involving the right mandibular condyle which may relate to previous trauma or severe degenerative changes. Intracranial structures appear grossly stable, with diffuse cerebellar atrophy noted. There is mild-moderate right and moderate left fluid opacification of mastoid air cells. Filling defects within the external auditory canals bilaterally likely represent cerumen. Areas of somewhat prominent calvarial irregularity are also noted along the temporal bones bilaterally along the sutures, just superior posterior to the mastoid regions. Atherosclerotic calcification is noted at the carotid bifurcations. There is trace mucosal thickening right maxillary sinus. Soft tissue structures of the visualized neck appear grossly stable. Small amount of retropharyngeal fluid is again seen.
anatomical entity_fin: {'body': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'interval progression': {'clinical finding': 'interval progression', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'progression'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'buccal cortex discontinuity': {'clinical finding': 'buccal cortex discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'buccal cortex', 'observation': 'discontinuity'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'lingual cortex discontinuity': {'clinical finding': 'lingual cortex discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'lingual cortex', 'observation': 'discontinuity'}}anatomical entity_fin: {'wall': {}, 'mandibular canal': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'best appreciated on coronal images': {'clinical finding': 'best appreciated on coronal images'}}clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'unc_dx', 'observation': 'residual'}}imaging observation_fin: ['tooth']clinical findings_fin: {'abnormal periradicular and periapical lucency is also seen': {'clinical finding': 'abnormal periradicular and periapical lucency is also seen'}}imaging observation_fin: ['tooth']clinical findings_fin: {'dental caries associated with tooth #': {'clinical finding': 'dental caries associated with tooth #', 'cf_snomed': {'dental caries': 80967001}}}location descriptor_fin: ['right']clinical findings_fin: {'stable discontinuity': {'clinical finding': 'stable discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'discontinuity', 'strength_term': 'stable', 'change_term': 'stable'}, 'ada_1': {'clinical finding': 'ada', 'existence': 'unc_dx', 'observation': 'ada'}, 'ada_2': {'clinical finding': 'ada', 'existence': 'pos_dx', 'observation': 'ada'}}anatomical entity_fin: {'nasal bones': {}}clinical findings_fin: {'significant deformity': {'clinical finding': 'significant deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'deformity'}, 'previous trauma': {'clinical finding': 'previous trauma', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'trauma', 'temporal_term': 'previous'}}anatomical entity_fin: {'condyle': {}}location descriptor_fin: ['right']clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}, 'previous trauma': {'clinical finding': 'previous trauma', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'trauma', 'temporal_term': 'previous'}, 'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'unc_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}clinical findings_fin: {'stable': {'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'}, 'diffuse cerebellar atrophy': {'clinical finding': 'diffuse cerebellar atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse cerebellar', 'observation': 'atrophy'}}anatomical entity_fin: {'fluid': {'location descriptor': 'left'}, 'mastoid air cells': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild-moderate right and moderate left fluid opacification': {'clinical finding': 'mild-moderate right and moderate left fluid opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate right and moderate left fluid', 'observation': 'opacification', 'strength_term': 'mild - moderate - moderate'}, 'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}}anatomical entity_fin: {'external auditory canals': {}}clinical findings_fin: {'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'cerumen': {'clinical finding': 'cerumen', 'existence': 'pos_dx', 'observation': 'cerumen'}}anatomical entity_fin: {'temporal bones': {}, 'mastoid regions': {}}location descriptor_fin: ['superior', 'posterior']object_fin: ['sutures']clinical findings_fin: {'somewhat prominent calvarial irregularity': {'clinical finding': 'somewhat prominent calvarial irregularity', 'existence': 'pos_dx', 'descriptive_term': 'somewhat prominent calvarial', 'observation': 'irregularity', 'strength_term': 'prominent'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'trace mucosal thickening': {'clinical finding': 'trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'trace mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'stable': {'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of retropharyngeal fluid is again seen': {'clinical finding': 'small amount of retropharyngeal fluid is again seen'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'body': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'interval progression': {'clinical finding': 'interval progression', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'progression'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'buccal cortex discontinuity': {'clinical finding': 'buccal cortex discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'buccal cortex', 'observation': 'discontinuity'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'lingual cortex discontinuity': {'clinical finding': 'lingual cortex discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'lingual cortex', 'observation': 'discontinuity'}}anatomical entity_fin: {'wall': {}, 'mandibular canal': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'best appreciated on coronal images': {'clinical finding': 'best appreciated on coronal images'}}clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'unc_dx', 'observation': 'residual'}}imaging observation_fin: ['tooth']clinical findings_fin: {'abnormal periradicular and periapical lucency is also seen': {'clinical finding': 'abnormal periradicular and periapical lucency is also seen'}}imaging observation_fin: ['tooth']clinical findings_fin: {'dental caries associated with tooth #': {'clinical finding': 'dental caries associated with tooth #', 'cf_snomed': {'dental caries': 80967001}}}location descriptor_fin: ['right']clinical findings_fin: {'stable discontinuity': {'clinical finding': 'stable discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'discontinuity', 'strength_term': 'stable', 'change_term': 'stable'}, 'ada_1': {'clinical finding': 'ada', 'existence': 'unc_dx', 'observation': 'ada'}, 'ada_2': {'clinical finding': 'ada', 'existence': 'pos_dx', 'observation': 'ada'}}anatomical entity_fin: {'nasal bones': {}}clinical findings_fin: {'significant deformity': {'clinical finding': 'significant deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'deformity'}, 'previous trauma': {'clinical finding': 'previous trauma', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'trauma', 'temporal_term': 'previous'}}anatomical entity_fin: {'condyle': {}}location descriptor_fin: ['right']clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}, 'previous trauma': {'clinical finding': 'previous trauma', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'trauma', 'temporal_term': 'previous'}, 'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'unc_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}clinical findings_fin: {'stable': {'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'}, 'diffuse cerebellar atrophy': {'clinical finding': 'diffuse cerebellar atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse cerebellar', 'observation': 'atrophy'}}anatomical entity_fin: {'fluid': {'location descriptor': 'left'}, 'mastoid air cells': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild-moderate right and moderate left fluid opacification': {'clinical finding': 'mild-moderate right and moderate left fluid opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate right and moderate left fluid', 'observation': 'opacification', 'strength_term': 'mild - moderate - moderate'}, 'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}}anatomical entity_fin: {'external auditory canals': {}}clinical findings_fin: {'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'cerumen': {'clinical finding': 'cerumen', 'existence': 'pos_dx', 'observation': 'cerumen'}}anatomical entity_fin: {'temporal bones': {}, 'mastoid regions': {}}location descriptor_fin: ['superior', 'posterior']object_fin: ['sutures']clinical findings_fin: {'somewhat prominent calvarial irregularity': {'clinical finding': 'somewhat prominent calvarial irregularity', 'existence': 'pos_dx', 'descriptive_term': 'somewhat prominent calvarial', 'observation': 'irregularity', 'strength_term': 'prominent'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'trace mucosal thickening': {'clinical finding': 'trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'trace mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'stable': {'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of retropharyngeal fluid is again seen': {'clinical finding': 'small amount of retropharyngeal fluid is again seen'}} [/INST] There has been interval progression of abnormal lucency and sclerosis along the left posterior mandibular body. This is heterogeneous in appearance, with focal areas of buccal cortex discontinuity now noted. There is also a longer area of lingual cortex discontinuity. There are areas of wall of the left mandibular canal, best appreciated on coronal images. This area of abnormality is in the expected location of ADA #17 through 19. There may be a residual root of ADA #18. Abnormal periradicular and periapical lucency is also seen associated with tooth number 30 through 32, as well as 19. There is a dental caries associated with tooth #22. Stable discontinuity is seen along the right maxillary alveolar process in the expected location of ADA #5 and ADA #8 and 9 are absent. There is again significant deformity of the nasal bones bilaterally, presumably relating to previous trauma. There is also abnormality involving the right mandibular condyle which may relate to previous trauma or severe degenerative changes. Intracranial structures appear grossly stable, with diffuse cerebellar atrophy noted. There is mild-moderate right and moderate left fluid opacification of mastoid air cells. Filling defects within the external auditory canals bilaterally likely represent cerumen. Areas of somewhat prominent calvarial irregularity are also noted along the temporal bones bilaterally along the sutures, just superior posterior to the mastoid regions. Atherosclerotic calcification is noted at the carotid bifurcations. There is trace mucosal thickening right maxillary sinus. Soft tissue structures of the visualized neck appear grossly stable. Small amount of retropharyngeal fluid is again seen. </s>