. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with mild to moderate chronic small vessel ischemic disease. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Moderate atherosclerotic vascular calcification is noted involving the cavernous internal carotid and distal vertebral arteries. There is a 15 x 12 mm cystic lesion involving the subcutaneous soft tissues overlying the parotid gland inferior to the level of the external auditory canal. Cerumen in the left external auditory canal. No acute fracture or subluxation is demonstrated in the cervical spine. There are extensive postsurgical changes in the cervical spine extending from C3 to C7 including partial corpectomy with placement of interbody cage device spanning from C3 to the C7 levels. Posteriorly there is evidence of partial laminectomies with wire fixation extending from C3 to C7. There is evidence of solid osseous fusion involving the vertebral bodies as well as the posterior elements from C3 to C7. There is mild to moderate spinal canal stenosis at the C2-C3 level with effacement of the ventral and dorsal thecal sac related to disc bulge and ligamentum flavum thickening. There is mild to moderate bilateral neural foraminal stenosis at C7-T1. There is also moderate stenosis involving the bilateral T1-T2 neural foramina.
clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mild to moderate chronic small vessel ischemic disease': {'clinical finding': 'mild to moderate chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - moderate - small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'moderate atherosclerotic vascular calcification': {'clinical finding': 'moderate atherosclerotic vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic vascular', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '15 x 12 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'parotid gland': {}, 'external auditory canal': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'15 x 12 mm cystic lesion': {'clinical finding': '15 x 12 mm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '15 x 12 mm cystic', 'observation': 'lesion'}}anatomical entity_fin: {'external auditory canal': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'extensive postsurgical changes': {'clinical finding': 'extensive postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postsurgical', 'observation': 'change', 'strength_term': 'extensive'}, 'partial corpectomy': {'clinical finding': 'partial corpectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'corpectomy', 'strength_term': 'partial'}, 'interbody cage device': {'clinical finding': 'interbody cage device', 'existence': 'pos_dx', 'descriptive_term': 'interbody cage', 'observation': 'device'}}object_fin: ['wire']anatomical entity_fin: {'osseous': {}, 'vertebral bodies': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'solid osseous fusion': {'clinical finding': 'solid osseous fusion', 'existence': 'pos_dx', 'descriptive_term': 'solid osseous', 'observation': 'fusion'}}anatomical entity_fin: {'spinal canal': {}, 'thecal sac': {}, 'disc': {}, 'ligamentum flavum': {}}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'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral neural foraminal stenosis': {'clinical finding': 'mild to moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'neural foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}}
<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'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mild to moderate chronic small vessel ischemic disease': {'clinical finding': 'mild to moderate chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - moderate - small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'moderate atherosclerotic vascular calcification': {'clinical finding': 'moderate atherosclerotic vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic vascular', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '15 x 12 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'parotid gland': {}, 'external auditory canal': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'15 x 12 mm cystic lesion': {'clinical finding': '15 x 12 mm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '15 x 12 mm cystic', 'observation': 'lesion'}}anatomical entity_fin: {'external auditory canal': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'extensive postsurgical changes': {'clinical finding': 'extensive postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postsurgical', 'observation': 'change', 'strength_term': 'extensive'}, 'partial corpectomy': {'clinical finding': 'partial corpectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'corpectomy', 'strength_term': 'partial'}, 'interbody cage device': {'clinical finding': 'interbody cage device', 'existence': 'pos_dx', 'descriptive_term': 'interbody cage', 'observation': 'device'}}object_fin: ['wire']anatomical entity_fin: {'osseous': {}, 'vertebral bodies': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'solid osseous fusion': {'clinical finding': 'solid osseous fusion', 'existence': 'pos_dx', 'descriptive_term': 'solid osseous', 'observation': 'fusion'}}anatomical entity_fin: {'spinal canal': {}, 'thecal sac': {}, 'disc': {}, 'ligamentum flavum': {}}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'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral neural foraminal stenosis': {'clinical finding': 'mild to moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'neural foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}} [/INST] . No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with mild to moderate chronic small vessel ischemic disease. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Moderate atherosclerotic vascular calcification is noted involving the cavernous internal carotid and distal vertebral arteries. There is a 15 x 12 mm cystic lesion involving the subcutaneous soft tissues overlying the parotid gland inferior to the level of the external auditory canal. Cerumen in the left external auditory canal. No acute fracture or subluxation is demonstrated in the cervical spine. There are extensive postsurgical changes in the cervical spine extending from C3 to C7 including partial corpectomy with placement of interbody cage device spanning from C3 to the C7 levels. Posteriorly there is evidence of partial laminectomies with wire fixation extending from C3 to C7. There is evidence of solid osseous fusion involving the vertebral bodies as well as the posterior elements from C3 to C7. There is mild to moderate spinal canal stenosis at the C2-C3 level with effacement of the ventral and dorsal thecal sac related to disc bulge and ligamentum flavum thickening. There is mild to moderate bilateral neural foraminal stenosis at C7-T1. There is also moderate stenosis involving the bilateral T1-T2 neural foramina. </s>