For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. There is straightening of the lumbar spine curvature with minimal anterolisthesis of L2 on L3 and minimal retrolisthesis of L4 on L5. Evidence of prior laminectomies at L3-L4 and L4-L5 noted. No suspicious osseous lesions. Multilevel degenerative changes are seen including vacuum disc phenomena at the L3-L4 and L4-L5 levels with some height loss at these levels. At L1-2 there is no significant compromise to spinal canal. Minimal neural foraminal narrowing bilaterally. At L2-3 there is moderate to severe spinal canal stenosis related to mild anterolisthesis, disc bulge, ligamentum flavum thickening, and facet arthropathy. Mild neural foraminal narrowing bilaterally. At L3-4 there is evidence of prior decompressive laminectomy. There is moderate bilateral neural foraminal narrowing related to disc bulge, disc height loss, and facet arthropathy. At L4-5 there is evidence of prior decompressive laminectomy. There is mild to moderate right and moderate to severe left neural foraminal stenosis related to disc bulge, endplate osteophyte, and facet arthropathy. At L5-S1 there is no significant compromise to spinal canal. Severe right and moderate left neural foraminal stenosis related to prominent endplate osteophytes and facet arthropathy. Degenerative changes are noted also at the sacroiliac joints with ventral bridging osteophytes. Evidence of partial right nephrectomy. Subcentimeter nonobstructing left renal calculi are noted.
anatomical entity_fin: {'vertebral bodies': {}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'lumbar spine': {}}clinical findings_fin: {'lumbar spine curvature': {'clinical finding': 'lumbar spine curvature', 'existence': 'pos_dx', 'descriptive_term': 'lumbar spine', 'observation': 'curvature'}, 'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'l3-l4 and l4 - l5 noted': {'clinical finding': 'l3-l4 and l4 - l5 noted'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'vacuum disc phenomena': {'clinical finding': 'vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'some height loss': {'clinical finding': 'some height loss', 'existence': 'pos_dx', 'descriptive_term': 'some height', 'observation': 'loss', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal'}}clinical findings_fin: {'minimal neural foraminal narrowing': {'clinical finding': 'minimal neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal neural foraminal', 'observation': 'narrowing', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spinal canal': {}, 'disc': {}, 'ligamentum flavum': {}, 'facet': {}}clinical findings_fin: {'moderate to severe spinal canal stenosis': {'clinical finding': 'moderate to severe spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}, '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'}}clinical findings_fin: {'mild neural foraminal narrowing': {'clinical finding': 'mild neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral neural foraminal narrowing': {'clinical finding': 'moderate bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'disc height loss': {'clinical finding': 'disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'disc height', 'observation': 'loss'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild to moderate right and moderate to severe left neural foraminal stenosis': {'clinical finding': 'mild to moderate right and moderate to severe left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate right and moderate to severe left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate - moderate - severe'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'endplate osteophyte': {'clinical finding': 'endplate osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe right and moderate left neural foraminal stenosis': {'clinical finding': 'severe right and moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe right and moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'severe - moderate'}, 'prominent endplate osteophytes': {'clinical finding': 'prominent endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'prominent endplate', 'observation': 'osteophyte', 'strength_term': 'prominent'}}anatomical entity_fin: {'sacroiliac joints': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'ventral bridging osteophytes': {'clinical finding': 'ventral bridging osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'ventral bridging', 'observation': 'osteophyte'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter nonobstructing left renal calculi': {'clinical finding': 'subcentimeter nonobstructing left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nonobstructing left renal', 'observation': 'calculi'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'vertebral bodies': {}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'lumbar spine': {}}clinical findings_fin: {'lumbar spine curvature': {'clinical finding': 'lumbar spine curvature', 'existence': 'pos_dx', 'descriptive_term': 'lumbar spine', 'observation': 'curvature'}, 'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'l3-l4 and l4 - l5 noted': {'clinical finding': 'l3-l4 and l4 - l5 noted'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'vacuum disc phenomena': {'clinical finding': 'vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'some height loss': {'clinical finding': 'some height loss', 'existence': 'pos_dx', 'descriptive_term': 'some height', 'observation': 'loss', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l1 - 2 there is no significant compromise to spinal canal': {'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal'}}clinical findings_fin: {'minimal neural foraminal narrowing': {'clinical finding': 'minimal neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'minimal neural foraminal', 'observation': 'narrowing', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spinal canal': {}, 'disc': {}, 'ligamentum flavum': {}, 'facet': {}}clinical findings_fin: {'moderate to severe spinal canal stenosis': {'clinical finding': 'moderate to severe spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild anterolisthesis': {'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild'}, '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'}}clinical findings_fin: {'mild neural foraminal narrowing': {'clinical finding': 'mild neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral neural foraminal narrowing': {'clinical finding': 'moderate bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'disc height loss': {'clinical finding': 'disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'disc height', 'observation': 'loss'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild to moderate right and moderate to severe left neural foraminal stenosis': {'clinical finding': 'mild to moderate right and moderate to severe left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate right and moderate to severe left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate - moderate - severe'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'endplate osteophyte': {'clinical finding': 'endplate osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe right and moderate left neural foraminal stenosis': {'clinical finding': 'severe right and moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe right and moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'severe - moderate'}, 'prominent endplate osteophytes': {'clinical finding': 'prominent endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'prominent endplate', 'observation': 'osteophyte', 'strength_term': 'prominent'}}anatomical entity_fin: {'sacroiliac joints': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'ventral bridging osteophytes': {'clinical finding': 'ventral bridging osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'ventral bridging', 'observation': 'osteophyte'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter nonobstructing left renal calculi': {'clinical finding': 'subcentimeter nonobstructing left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nonobstructing left renal', 'observation': 'calculi'}} [/INST] For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. There is straightening of the lumbar spine curvature with minimal anterolisthesis of L2 on L3 and minimal retrolisthesis of L4 on L5. Evidence of prior laminectomies at L3-L4 and L4-L5 noted. No suspicious osseous lesions. Multilevel degenerative changes are seen including vacuum disc phenomena at the L3-L4 and L4-L5 levels with some height loss at these levels. At L1-2 there is no significant compromise to spinal canal. Minimal neural foraminal narrowing bilaterally. At L2-3 there is moderate to severe spinal canal stenosis related to mild anterolisthesis, disc bulge, ligamentum flavum thickening, and facet arthropathy. Mild neural foraminal narrowing bilaterally. At L3-4 there is evidence of prior decompressive laminectomy. There is moderate bilateral neural foraminal narrowing related to disc bulge, disc height loss, and facet arthropathy. At L4-5 there is evidence of prior decompressive laminectomy. There is mild to moderate right and moderate to severe left neural foraminal stenosis related to disc bulge, endplate osteophyte, and facet arthropathy. At L5-S1 there is no significant compromise to spinal canal. Severe right and moderate left neural foraminal stenosis related to prominent endplate osteophytes and facet arthropathy. Degenerative changes are noted also at the sacroiliac joints with ventral bridging osteophytes. Evidence of partial right nephrectomy. Subcentimeter nonobstructing left renal calculi are noted. </s>