Again seen are extensive postoperative findings including left orbital exenteration, left maxillectomy, left ethmoidectomy, and left rhinectomy. Since the prior examination, a new soft tissue flap has been placed bridging the previously seen large maxillary defect. The appearance of the flap is within normal limits. The left frontal sinus remains completely opacified. A larger deficiency of the left maxillary alveolar ridge is seen with several newly absent teeth. Sclerosis and thickening of the residual left posterior maxillary sinus wall is unchanged. Evidence of left neck dissection is seen. No masslike lesions or pathologic adenopathy is detected given the limited field of view. On imaging of the brain, no evidence of parenchymal edema, mass effect or loss of gray-white differentiation is seen. No pathologic parenchymal or extra-axial enhancement is observed. No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricular system is normal in size and morphology.
location descriptor_fin: ['left']clinical findings_fin: {'extensive postoperative': {'clinical finding': 'extensive postoperative', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'postoperative', 'strength_term': 'extensive'}, 'left orbital exenteration': {'clinical finding': 'left orbital exenteration', 'existence': 'pos_dx', 'descriptive_term': 'left orbital', 'observation': 'exenteration'}, 'left ethmoidectomy': {'clinical finding': 'left ethmoidectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'ethmoidectomy'}, 'left rhinectomy': {'clinical finding': 'left rhinectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'rhinectomy'}}clinical findings_fin: {'new soft tissue flap': {'clinical finding': 'new soft tissue flap', 'existence': 'pos_dx', 'descriptive_term': 'new soft tissue', 'observation': 'flap', 'temporal_term': 'new'}, 'previously seen large maxillary defect': {'clinical finding': 'previously seen large maxillary defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen large maxillary', 'observation': 'defect', 'strength_term': 'large'}}clinical findings_fin: {'flap': {'clinical finding': 'flap', 'existence': 'pos_dx', 'observation': 'flap'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left frontal sinus remains completely opacified': {'clinical finding': 'left frontal sinus remains completely opacified', 'cf_snomed': {'sinus': 419351001}, 'change_term': 'opacified'}}imaging observation_fin: ['teeth']location descriptor_fin: ['left']clinical findings_fin: {'larger deficiency of the left maxillary alveolar ridge is seen with several newly absent teeth': {'clinical finding': 'larger deficiency of the left maxillary alveolar ridge is seen with several newly absent teeth'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left posterior'}, 'wall': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left neck dissection': {'clinical finding': 'left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'left neck', 'observation': 'dissection'}}clinical findings_fin: {'masslike lesions': {'clinical finding': 'masslike lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'masslike', 'observation': 'lesion'}, 'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'brain': {}}clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'neg_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}}clinical findings_fin: {'extra-axial enhancement': {'clinical finding': 'extra-axial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial', 'observation': 'enhancement'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'any abnormal extra-axial fluid collection': {'clinical finding': 'any abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra-axial fluid', 'observation': 'collection'}}clinical findings_fin: {'ventricular system is normal in size and morphology': {'clinical finding': 'ventricular system is normal in size and morphology'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'extensive postoperative': {'clinical finding': 'extensive postoperative', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'postoperative', 'strength_term': 'extensive'}, 'left orbital exenteration': {'clinical finding': 'left orbital exenteration', 'existence': 'pos_dx', 'descriptive_term': 'left orbital', 'observation': 'exenteration'}, 'left ethmoidectomy': {'clinical finding': 'left ethmoidectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'ethmoidectomy'}, 'left rhinectomy': {'clinical finding': 'left rhinectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'rhinectomy'}}clinical findings_fin: {'new soft tissue flap': {'clinical finding': 'new soft tissue flap', 'existence': 'pos_dx', 'descriptive_term': 'new soft tissue', 'observation': 'flap', 'temporal_term': 'new'}, 'previously seen large maxillary defect': {'clinical finding': 'previously seen large maxillary defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen large maxillary', 'observation': 'defect', 'strength_term': 'large'}}clinical findings_fin: {'flap': {'clinical finding': 'flap', 'existence': 'pos_dx', 'observation': 'flap'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left frontal sinus remains completely opacified': {'clinical finding': 'left frontal sinus remains completely opacified', 'cf_snomed': {'sinus': 419351001}, 'change_term': 'opacified'}}imaging observation_fin: ['teeth']location descriptor_fin: ['left']clinical findings_fin: {'larger deficiency of the left maxillary alveolar ridge is seen with several newly absent teeth': {'clinical finding': 'larger deficiency of the left maxillary alveolar ridge is seen with several newly absent teeth'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left posterior'}, 'wall': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left neck dissection': {'clinical finding': 'left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'left neck', 'observation': 'dissection'}}clinical findings_fin: {'masslike lesions': {'clinical finding': 'masslike lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'masslike', 'observation': 'lesion'}, 'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'brain': {}}clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'neg_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}}clinical findings_fin: {'extra-axial enhancement': {'clinical finding': 'extra-axial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial', 'observation': 'enhancement'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'any abnormal extra-axial fluid collection': {'clinical finding': 'any abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra-axial fluid', 'observation': 'collection'}}clinical findings_fin: {'ventricular system is normal in size and morphology': {'clinical finding': 'ventricular system is normal in size and morphology'}} [/INST] Again seen are extensive postoperative findings including left orbital exenteration, left maxillectomy, left ethmoidectomy, and left rhinectomy. Since the prior examination, a new soft tissue flap has been placed bridging the previously seen large maxillary defect. The appearance of the flap is within normal limits. The left frontal sinus remains completely opacified. A larger deficiency of the left maxillary alveolar ridge is seen with several newly absent teeth. Sclerosis and thickening of the residual left posterior maxillary sinus wall is unchanged. Evidence of left neck dissection is seen. No masslike lesions or pathologic adenopathy is detected given the limited field of view. On imaging of the brain, no evidence of parenchymal edema, mass effect or loss of gray-white differentiation is seen. No pathologic parenchymal or extra-axial enhancement is observed. No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricular system is normal in size and morphology. </s>