. The external auditory canal is clear. The tympanic membrane is slightly thickened diffusely, with a traversing tympanostomy tube with mild surrounding opacification. The scutum remains sharp. There is trace fluid in the right mastoid air cells with overall persistent under pneumatization. There is moderate nonspecific opacification of the right middle ear including along the oval window. The round window is also opacified, with opacification extending into the sinus tympani and facial nerve recess. Overall, degree of opacification is increased previous exam although no definite osseous erosions are appreciated. Tympanic cavity is otherwise clear. The stapes is not optimally visualized due to the surrounding opacification. The visualized ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. There is slight asymmetric widening of the right vestibular aqueduct both at the operculum and midpoint measuring 2 mm and 2.1 mm respectively, although similar to prior exam. Comparison with adjacent posterior semicircular canal caliber also suggests mild enlargement of the aqueduct. Right osseous internal auditory canal is low normal in caliber, measuring 2 mm. The external auditory canal is clear except for minimal debris at the cartilaginous and osseous junction. The tympanic membrane is faintly visualized. A traversing tympanostomy tube is identified. There is adjacent opacification along the pars tensa, abutting the osseous external auditory canal without osseous change. The scutum remains sharp. The tympanic cavity and mastoid air cells are clear. The ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. The vestibular aqueduct is within normal limits in size. No abnormalities of the remainder osseous internal auditory canal are demonstrated, measuring 3 mm. There is scattered trace mucosal thickening in the visualized paranasal sinuses.
anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tympanic membrane': {}}object_fin: ['tympanostomy tube']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}, 'mild surrounding opacification': {'clinical finding': 'mild surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding', 'observation': 'opacification', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'overall persistent under pneumatization': {'clinical finding': 'overall persistent under pneumatization', 'existence': 'pos_dx', 'descriptive_term': 'overall persistent under', 'observation': 'pneumatization', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ear': {'location descriptor': 'right'}, 'oval window': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate nonspecific opacification': {'clinical finding': 'moderate nonspecific opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate nonspecific', 'observation': 'opacification', 'strength_term': 'moderate'}, 'oval window': {'clinical finding': 'oval window', 'existence': 'pos_dx', 'descriptive_term': 'oval', 'observation': 'window'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}, 'facial nerve recess': {}}clinical findings_fin: {'round window': {'clinical finding': 'round window', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'window'}, 'opacified': {'clinical finding': 'opacified', 'existence': 'pos_dx', 'observation': 'opacify'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'definite osseous erosions': {'clinical finding': 'definite osseous erosions', 'existence': 'neg_dx', 'descriptive_term': 'definite osseous', 'observation': 'erosion'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'stapes': {}}clinical findings_fin: {'surrounding opacification': {'clinical finding': 'surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'opacification'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}size_fin: [{'size': '2 mm'}, {'size': '2.1 mm'}]anatomical entity_fin: {'vestibular aqueduct': {'location descriptor': 'right'}, 'operculum': {}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric widening': {'clinical finding': 'slight asymmetric widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'widening'}}anatomical entity_fin: {'posterior semicircular canal': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aqueduct': {'clinical finding': 'aqueduct', 'existence': 'pos_dx', 'observation': 'aqueduct'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'canal'}]anatomical entity_fin: {'internal auditory canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'low normal in caliber': {'clinical finding': 'low normal in caliber'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'minimal debris': {'clinical finding': 'minimal debris', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'debris', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'tympanic membrane is faintly visualized': {'clinical finding': 'tympanic membrane is faintly visualized'}}object_fin: ['tympanostomy tube']clinical findings_fin: {'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'neg_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}}anatomical entity_fin: {'external auditory canal': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent opacification': {'clinical finding': 'adjacent opacification', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'opacification'}, 'osseous change': {'clinical finding': 'osseous change', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vestibular aqueduct': {}}clinical findings_fin: {'normal limits in size': {'clinical finding': 'normal limits in size'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered trace mucosal thickening': {'clinical finding': 'scattered trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered trace mucosal', 'observation': 'thickening'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tympanic membrane': {}}object_fin: ['tympanostomy tube']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}, 'mild surrounding opacification': {'clinical finding': 'mild surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding', 'observation': 'opacification', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'overall persistent under pneumatization': {'clinical finding': 'overall persistent under pneumatization', 'existence': 'pos_dx', 'descriptive_term': 'overall persistent under', 'observation': 'pneumatization', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ear': {'location descriptor': 'right'}, 'oval window': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate nonspecific opacification': {'clinical finding': 'moderate nonspecific opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate nonspecific', 'observation': 'opacification', 'strength_term': 'moderate'}, 'oval window': {'clinical finding': 'oval window', 'existence': 'pos_dx', 'descriptive_term': 'oval', 'observation': 'window'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}, 'facial nerve recess': {}}clinical findings_fin: {'round window': {'clinical finding': 'round window', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'window'}, 'opacified': {'clinical finding': 'opacified', 'existence': 'pos_dx', 'observation': 'opacify'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'definite osseous erosions': {'clinical finding': 'definite osseous erosions', 'existence': 'neg_dx', 'descriptive_term': 'definite osseous', 'observation': 'erosion'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'stapes': {}}clinical findings_fin: {'surrounding opacification': {'clinical finding': 'surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'opacification'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}size_fin: [{'size': '2 mm'}, {'size': '2.1 mm'}]anatomical entity_fin: {'vestibular aqueduct': {'location descriptor': 'right'}, 'operculum': {}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric widening': {'clinical finding': 'slight asymmetric widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'widening'}}anatomical entity_fin: {'posterior semicircular canal': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aqueduct': {'clinical finding': 'aqueduct', 'existence': 'pos_dx', 'observation': 'aqueduct'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'canal'}]anatomical entity_fin: {'internal auditory canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'low normal in caliber': {'clinical finding': 'low normal in caliber'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'minimal debris': {'clinical finding': 'minimal debris', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'debris', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'tympanic membrane is faintly visualized': {'clinical finding': 'tympanic membrane is faintly visualized'}}object_fin: ['tympanostomy tube']clinical findings_fin: {'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'neg_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}}anatomical entity_fin: {'external auditory canal': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent opacification': {'clinical finding': 'adjacent opacification', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'opacification'}, 'osseous change': {'clinical finding': 'osseous change', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vestibular aqueduct': {}}clinical findings_fin: {'normal limits in size': {'clinical finding': 'normal limits in size'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered trace mucosal thickening': {'clinical finding': 'scattered trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered trace mucosal', 'observation': 'thickening'}} [/INST] . The external auditory canal is clear. The tympanic membrane is slightly thickened diffusely, with a traversing tympanostomy tube with mild surrounding opacification. The scutum remains sharp. There is trace fluid in the right mastoid air cells with overall persistent under pneumatization. There is moderate nonspecific opacification of the right middle ear including along the oval window. The round window is also opacified, with opacification extending into the sinus tympani and facial nerve recess. Overall, degree of opacification is increased previous exam although no definite osseous erosions are appreciated. Tympanic cavity is otherwise clear. The stapes is not optimally visualized due to the surrounding opacification. The visualized ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. There is slight asymmetric widening of the right vestibular aqueduct both at the operculum and midpoint measuring 2 mm and 2.1 mm respectively, although similar to prior exam. Comparison with adjacent posterior semicircular canal caliber also suggests mild enlargement of the aqueduct. Right osseous internal auditory canal is low normal in caliber, measuring 2 mm. The external auditory canal is clear except for minimal debris at the cartilaginous and osseous junction. The tympanic membrane is faintly visualized. A traversing tympanostomy tube is identified. There is adjacent opacification along the pars tensa, abutting the osseous external auditory canal without osseous change. The scutum remains sharp. The tympanic cavity and mastoid air cells are clear. The ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. The vestibular aqueduct is within normal limits in size. No abnormalities of the remainder osseous internal auditory canal are demonstrated, measuring 3 mm. There is scattered trace mucosal thickening in the visualized paranasal sinuses. </s>