Again seen are postoperative changes along the right neck with surgical clips in the carotid space and in the floor of the mouth. There are also changes related to free fibular reconstruction for mandibular hypoplasia without evidence of hardware complication. The left mandibular graft appears better incorporated with the native mandible since the prior exam. The previously described ill-defined trans-spacial mass involving much of the anterior neck is grossly unchanged. It is again seen within the left parapharyngeal, bilateral masticator spaces, the right root of the tongue, bilateral submental spaces, bilateral submandibular spaces, and the left carotid space. The largest portion is an ill-defined focus in the oral cavity centered at the root of the tongue which is similar in size to that seen on the prior exam. The mass extends anteriorly into the soft tissues overlying the mandible into the skin surface. Superiorly it extends to the skull base on the left, inferiorly to the trachea, and posteriorly to the pharyngeal mucosal space. No phleboliths are identified. The airway is patent. There is a steeply angled hard palate with evidence of cleft palate and underdeveloped left mastoid air cells , unchanged. The visualized paranasal sinuses and mastoid air cells are clear.
anatomical entity_fin: {'neck': {'location descriptor': 'right'}, 'carotid space': {}, 'floor': {}, 'mouth': {}}location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'free fibular reconstruction': {'clinical finding': 'free fibular reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'free fibular', 'observation': 'reconstruction'}, 'mandibular hypoplasia': {'clinical finding': 'mandibular hypoplasia', 'cf_snomed': {'hypoplasia': 55199003}, 'existence': 'unc_dx', 'descriptive_term': 'mandibular', 'observation': 'hypoplasia'}, 'hardware complication': {'clinical finding': 'hardware complication', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}anatomical entity_fin: {'graft': {}, 'mandible': {}}location descriptor_fin: ['left']clinical findings_fin: {'incorporated': {'clinical finding': 'incorporated', 'existence': 'pos_dx', 'observation': 'incorporate'}}anatomical entity_fin: {'neck': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'previously described ill-defined trans-spacial mass': {'clinical finding': 'previously described ill-defined trans-spacial mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described ill-defined trans-spacial', 'observation': 'mass', 'strength_term': 'ill-defined'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'masticator spaces': {'location descriptor': 'bilateral'}, 'tongue': {}, 'submandibular spaces': {'location descriptor': 'bilateral'}, 'carotid space': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'bilateral', 'right']clinical findings_fin: {'again seen within the left parapharyngeal , bilateral masticator spaces , the right root of the tongue , bilateral submental spaces , bilateral submandibular spaces , and the left carotid space': {'clinical finding': 'again seen within the left parapharyngeal , bilateral masticator spaces , the right root of the tongue , bilateral submental spaces , bilateral submandibular spaces , and the left carotid space'}}anatomical entity_fin: {'oral cavity': {}, 'tongue': {}}clinical findings_fin: {'ill-defined focus': {'clinical finding': 'ill-defined focus', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'focus', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'mandible': {}, 'skin': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'skull': {}, 'base': {}, 'trachea': {}}location descriptor_fin: ['left']clinical findings_fin: {'phleboliths': {'clinical finding': 'phleboliths', 'existence': 'neg_dx', 'observation': 'phlebolith'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'palate': {'location descriptor': 'left'}, 'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'cleft': {'clinical finding': 'cleft', 'existence': 'pos_dx', 'observation': 'cleft'}, 'underdeveloped left mastoid air cells': {'clinical finding': 'underdeveloped left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'underdeveloped left mastoid air', 'observation': 'cell'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {'location descriptor': 'right'}, 'carotid space': {}, 'floor': {}, 'mouth': {}}location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'free fibular reconstruction': {'clinical finding': 'free fibular reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'free fibular', 'observation': 'reconstruction'}, 'mandibular hypoplasia': {'clinical finding': 'mandibular hypoplasia', 'cf_snomed': {'hypoplasia': 55199003}, 'existence': 'unc_dx', 'descriptive_term': 'mandibular', 'observation': 'hypoplasia'}, 'hardware complication': {'clinical finding': 'hardware complication', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}anatomical entity_fin: {'graft': {}, 'mandible': {}}location descriptor_fin: ['left']clinical findings_fin: {'incorporated': {'clinical finding': 'incorporated', 'existence': 'pos_dx', 'observation': 'incorporate'}}anatomical entity_fin: {'neck': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'previously described ill-defined trans-spacial mass': {'clinical finding': 'previously described ill-defined trans-spacial mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described ill-defined trans-spacial', 'observation': 'mass', 'strength_term': 'ill-defined'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'masticator spaces': {'location descriptor': 'bilateral'}, 'tongue': {}, 'submandibular spaces': {'location descriptor': 'bilateral'}, 'carotid space': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'bilateral', 'right']clinical findings_fin: {'again seen within the left parapharyngeal , bilateral masticator spaces , the right root of the tongue , bilateral submental spaces , bilateral submandibular spaces , and the left carotid space': {'clinical finding': 'again seen within the left parapharyngeal , bilateral masticator spaces , the right root of the tongue , bilateral submental spaces , bilateral submandibular spaces , and the left carotid space'}}anatomical entity_fin: {'oral cavity': {}, 'tongue': {}}clinical findings_fin: {'ill-defined focus': {'clinical finding': 'ill-defined focus', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'focus', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'mandible': {}, 'skin': {}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'skull': {}, 'base': {}, 'trachea': {}}location descriptor_fin: ['left']clinical findings_fin: {'phleboliths': {'clinical finding': 'phleboliths', 'existence': 'neg_dx', 'observation': 'phlebolith'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'palate': {'location descriptor': 'left'}, 'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'cleft': {'clinical finding': 'cleft', 'existence': 'pos_dx', 'observation': 'cleft'}, 'underdeveloped left mastoid air cells': {'clinical finding': 'underdeveloped left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'underdeveloped left mastoid air', 'observation': 'cell'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Again seen are postoperative changes along the right neck with surgical clips in the carotid space and in the floor of the mouth. There are also changes related to free fibular reconstruction for mandibular hypoplasia without evidence of hardware complication. The left mandibular graft appears better incorporated with the native mandible since the prior exam. The previously described ill-defined trans-spacial mass involving much of the anterior neck is grossly unchanged. It is again seen within the left parapharyngeal, bilateral masticator spaces, the right root of the tongue, bilateral submental spaces, bilateral submandibular spaces, and the left carotid space. The largest portion is an ill-defined focus in the oral cavity centered at the root of the tongue which is similar in size to that seen on the prior exam. The mass extends anteriorly into the soft tissues overlying the mandible into the skin surface. Superiorly it extends to the skull base on the left, inferiorly to the trachea, and posteriorly to the pharyngeal mucosal space. No phleboliths are identified. The airway is patent. There is a steeply angled hard palate with evidence of cleft palate and underdeveloped left mastoid air cells , unchanged. The visualized paranasal sinuses and mastoid air cells are clear. </s>