.There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is again visualized mild to moderate patchy and confluent hypoattenuation within the subcortical and periventricular white matter, not significantly changed compared to prior exam. There is evidence of global parenchymal volume loss and sulcal prominence. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable, without evidence of calvarial fracture. There is minimal mucosal thickening of the left frontoethmoidal recess and anterior ethmoid air cells. Patient is status post bilateral intraocular lens replacement. There are atherosclerotic locations of the cavernous internal carotid arteries. No fractures are identified in the cervical spine. There is osseous bridging present at the disc spaces of C2-3, C3-4, C5-6 and C6-7 and to a lesser degree C4-5. There is fusion of the left facet joints at C2-C3-C4. At C2-3 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C3-4 there is loss of disc space height at this level. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. There are endplate osteophytes present at this level. Overall there is a mild to moderate degree of spinal stenosis at this levelAt C4-5 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C5-6 there is loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height at this level. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes present at this levelThere are atherosclerotic calcifications of the bilateral common carotid arteries at the carotid bulb. There is a small volume of air within the right internal jugular vein.
clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'mild to moderate patchy and confluent hypoattenuation': {'clinical finding': 'mild to moderate patchy and confluent hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate patchy and confluent', 'observation': 'hypoattenuation', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'lens': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'atherosclerotic': {'clinical finding': 'atherosclerotic', 'existence': 'pos_dx', 'observation': 'atherosclerotic'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'osseous': {}, 'disc': {}}clinical findings_fin: {'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6': {'clinical finding': 'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joints': {}}location descriptor_fin: ['left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal': {}, 'disc': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'common carotid arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small uncovertebral osteophytes': {'clinical finding': 'small uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'small uncovertebral', 'observation': 'osteophyte', 'strength_term': 'small'}, 'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'is a small volume of air within the right internal jugular vein': {'clinical finding': 'is a small volume of air within the right internal jugular vein'}}
<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'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'mild to moderate patchy and confluent hypoattenuation': {'clinical finding': 'mild to moderate patchy and confluent hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate patchy and confluent', 'observation': 'hypoattenuation', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'lens': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'atherosclerotic': {'clinical finding': 'atherosclerotic', 'existence': 'pos_dx', 'observation': 'atherosclerotic'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'osseous': {}, 'disc': {}}clinical findings_fin: {'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6': {'clinical finding': 'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joints': {}}location descriptor_fin: ['left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal': {}, 'disc': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'common carotid arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small uncovertebral osteophytes': {'clinical finding': 'small uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'small uncovertebral', 'observation': 'osteophyte', 'strength_term': 'small'}, 'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'is a small volume of air within the right internal jugular vein': {'clinical finding': 'is a small volume of air within the right internal jugular vein'}} [/INST] .There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is again visualized mild to moderate patchy and confluent hypoattenuation within the subcortical and periventricular white matter, not significantly changed compared to prior exam. There is evidence of global parenchymal volume loss and sulcal prominence. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable, without evidence of calvarial fracture. There is minimal mucosal thickening of the left frontoethmoidal recess and anterior ethmoid air cells. Patient is status post bilateral intraocular lens replacement. There are atherosclerotic locations of the cavernous internal carotid arteries. No fractures are identified in the cervical spine. There is osseous bridging present at the disc spaces of C2-3, C3-4, C5-6 and C6-7 and to a lesser degree C4-5. There is fusion of the left facet joints at C2-C3-C4. At C2-3 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C3-4 there is loss of disc space height at this level. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. There are endplate osteophytes present at this level. Overall there is a mild to moderate degree of spinal stenosis at this levelAt C4-5 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C5-6 there is loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height at this level. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes present at this levelThere are atherosclerotic calcifications of the bilateral common carotid arteries at the carotid bulb. There is a small volume of air within the right internal jugular vein. </s>