The small left temporal hemorrhage has not significantly changed. It is still not associated with significant surrounding edema or mass effect. There is no new intracranial hemorrhage. The remainder of the brain is notable for scattered foci of frontoparietal white matter hypoattenuation that probably reflect microvascular ischemia. The mild, asymmetric expansion of the CSF space overlying the right frontal and parietal lobes near the vertex has not changed. As discussed previously, this is most probably expanded subarachnoid space related to volume loss rather than chronic subdural collection. Otherwise, there is generalized mild dilatation of the ventricles and other CSF-containing spaces, reflecting mild volume loss. There is no skull fracture. Mastoid air cells and paranasal sinuses are clear. The orbits are normal.
location descriptor_fin: ['left']clinical findings_fin: {'small left temporal hemorrhage': {'clinical finding': 'small left temporal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'small left temporal', 'observation': 'hemorrhage', 'strength_term': 'small'}}clinical findings_fin: {'significant surrounding edema': {'clinical finding': 'significant surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'significant surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'brain': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'frontoparietal white matter hypoattenuation': {'clinical finding': 'frontoparietal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'frontoparietal white matter', 'observation': 'hypoattenuation'}, 'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'parietal lobes': {}, 'vertex': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed': {'clinical finding': 'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed', 'change_term': 'changed'}}anatomical entity_fin: {'subarachnoid space': {}}clinical findings_fin: {'expanded subarachnoid space': {'clinical finding': 'expanded subarachnoid space', 'existence': 'unc_dx', 'descriptive_term': 'expanded subarachnoid', 'observation': 'space', 'change_term': 'expanded'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic subdural': {'clinical finding': 'chronic subdural', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'subdural', 'temporal_term': 'chronic'}}clinical findings_fin: {'mild volume loss': {'clinical finding': 'mild volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild volume', 'observation': 'loss', 'strength_term': 'mild'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'small left temporal hemorrhage': {'clinical finding': 'small left temporal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'small left temporal', 'observation': 'hemorrhage', 'strength_term': 'small'}}clinical findings_fin: {'significant surrounding edema': {'clinical finding': 'significant surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'significant surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'brain': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'frontoparietal white matter hypoattenuation': {'clinical finding': 'frontoparietal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'frontoparietal white matter', 'observation': 'hypoattenuation'}, 'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'parietal lobes': {}, 'vertex': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed': {'clinical finding': 'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed', 'change_term': 'changed'}}anatomical entity_fin: {'subarachnoid space': {}}clinical findings_fin: {'expanded subarachnoid space': {'clinical finding': 'expanded subarachnoid space', 'existence': 'unc_dx', 'descriptive_term': 'expanded subarachnoid', 'observation': 'space', 'change_term': 'expanded'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic subdural': {'clinical finding': 'chronic subdural', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'subdural', 'temporal_term': 'chronic'}}clinical findings_fin: {'mild volume loss': {'clinical finding': 'mild volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild volume', 'observation': 'loss', 'strength_term': 'mild'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}} [/INST] The small left temporal hemorrhage has not significantly changed. It is still not associated with significant surrounding edema or mass effect. There is no new intracranial hemorrhage. The remainder of the brain is notable for scattered foci of frontoparietal white matter hypoattenuation that probably reflect microvascular ischemia. The mild, asymmetric expansion of the CSF space overlying the right frontal and parietal lobes near the vertex has not changed. As discussed previously, this is most probably expanded subarachnoid space related to volume loss rather than chronic subdural collection. Otherwise, there is generalized mild dilatation of the ventricles and other CSF-containing spaces, reflecting mild volume loss. There is no skull fracture. Mastoid air cells and paranasal sinuses are clear. The orbits are normal. </s>