There is no acute intracranial hemorrhage or mass. The ventricles and sulci are more pronounced on the current study when compared to the study dated 2/2/2013, consistent with age-related volume loss. There is no extraaxial fluid collection. There is no midline shift. There is a focus of coarse calcification within the right globus pallidus, not significantly changed when compared to previous studies. There has been interval development of patchy hypodensity in the periventricular white matter, especially within the frontal lobes, consistent with age indeterminate infarcts. There is near-complete opacification of the left frontal sinus, maxillary sinus and left anterior ethmoid sinuses. The internal attenuation of these sinuses is slightly hyperdense, which may represent inspissated secretions. The bilateral mastoid air cells and remaining paranasal sinuses are normally pneumatized. Subtle deformity of the left lamina papyracea is again appreciated, consistent with old fracture. The osseous structures are intact. A focus of thickening of the subcutaneous fat in the right parietal scalp corresponds to the site of a previous injury.
clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'age-related volume loss': {'clinical finding': 'age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'age-related volume', 'observation': 'loss'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'right globus pallidus': {}}clinical findings_fin: {'coarse calcification': {'clinical finding': 'coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy hypodensity': {'clinical finding': 'patchy hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypodensity'}, 'age indeterminate infarcts': {'clinical finding': 'age indeterminate infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate', 'observation': 'infarct'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}, 'maxillary sinus': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'paranasal sinuses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}location descriptor_fin: ['left']clinical findings_fin: {'subtle deformity': {'clinical finding': 'subtle deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'deformity', 'strength_term': 'subtle'}, 'old fracture': {'clinical finding': 'old fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'subcutaneous fat': {}, 'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'previous injury': {'clinical finding': 'previous injury', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'injury', 'temporal_term': 'previous'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'age-related volume loss': {'clinical finding': 'age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'age-related volume', 'observation': 'loss'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'right globus pallidus': {}}clinical findings_fin: {'coarse calcification': {'clinical finding': 'coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy hypodensity': {'clinical finding': 'patchy hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypodensity'}, 'age indeterminate infarcts': {'clinical finding': 'age indeterminate infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate', 'observation': 'infarct'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}, 'maxillary sinus': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}clinical findings_fin: {'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'paranasal sinuses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}location descriptor_fin: ['left']clinical findings_fin: {'subtle deformity': {'clinical finding': 'subtle deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'deformity', 'strength_term': 'subtle'}, 'old fracture': {'clinical finding': 'old fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'fracture', 'temporal_term': 'old'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'subcutaneous fat': {}, 'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'previous injury': {'clinical finding': 'previous injury', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'injury', 'temporal_term': 'previous'}} [/INST] There is no acute intracranial hemorrhage or mass. The ventricles and sulci are more pronounced on the current study when compared to the study dated 2/2/2013, consistent with age-related volume loss. There is no extraaxial fluid collection. There is no midline shift. There is a focus of coarse calcification within the right globus pallidus, not significantly changed when compared to previous studies. There has been interval development of patchy hypodensity in the periventricular white matter, especially within the frontal lobes, consistent with age indeterminate infarcts. There is near-complete opacification of the left frontal sinus, maxillary sinus and left anterior ethmoid sinuses. The internal attenuation of these sinuses is slightly hyperdense, which may represent inspissated secretions. The bilateral mastoid air cells and remaining paranasal sinuses are normally pneumatized. Subtle deformity of the left lamina papyracea is again appreciated, consistent with old fracture. The osseous structures are intact. A focus of thickening of the subcutaneous fat in the right parietal scalp corresponds to the site of a previous injury. </s>