. There is no evidence of intracranial hemorrhage, mass or cerebral edema. The ventricles and sulci are prominent but unchanged. There is no midline shift or herniation. There are patchy areas of periventricular and subcortical white matter hypoattenuation. There is a hematoma overlying the left frontotemporal, no underlying fracture is identified. Calcifications are again noted within the distal internal carotid and left middle cerebral artery. The imaged paranasal sinuses and mastoid air cells are clear. No acute fracture. Alignment is normal with a normal cervical lordosis. Vertebral body heights are maintained. The C5 and C6 vertebral bodies are fused. There is significant bilateral neural foraminal narrowing at C3-4, C4-5, and moderate to significant bilateral neural foraminal narrowing at C5-6. No significant spinal canal stenosis. There is scarring in both lung apices.
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'}, 'cerebral edema': {'clinical finding': 'cerebral edema', 'cf_snomed': {'cerebral edema': 2032001}, 'existence': 'neg_dx', 'descriptive_term': 'cerebral', 'observation': 'edema'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}, 'underlying fracture': {'clinical finding': 'underlying fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'fracture'}}anatomical entity_fin: {'left middle cerebral artery': {}}location descriptor_fin: ['distal']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'normal cervical lordosis': {'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'c6 vertebral bodies': {}}clinical findings_fin: {'fused': {'clinical finding': 'fused', 'existence': 'pos_dx', 'observation': 'fuse'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'significant bilateral neural foraminal narrowing': {'clinical finding': 'significant bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant bilateral neural foraminal', 'observation': 'narrowing'}, 'moderate to significant bilateral neural foraminal narrowing': {'clinical finding': 'moderate to significant bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to significant bilateral neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}
<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'}, 'cerebral edema': {'clinical finding': 'cerebral edema', 'cf_snomed': {'cerebral edema': 2032001}, 'existence': 'neg_dx', 'descriptive_term': 'cerebral', 'observation': 'edema'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}, 'underlying fracture': {'clinical finding': 'underlying fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'fracture'}}anatomical entity_fin: {'left middle cerebral artery': {}}location descriptor_fin: ['distal']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'normal cervical lordosis': {'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'c6 vertebral bodies': {}}clinical findings_fin: {'fused': {'clinical finding': 'fused', 'existence': 'pos_dx', 'observation': 'fuse'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'significant bilateral neural foraminal narrowing': {'clinical finding': 'significant bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant bilateral neural foraminal', 'observation': 'narrowing'}, 'moderate to significant bilateral neural foraminal narrowing': {'clinical finding': 'moderate to significant bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to significant bilateral neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}} [/INST] . There is no evidence of intracranial hemorrhage, mass or cerebral edema. The ventricles and sulci are prominent but unchanged. There is no midline shift or herniation. There are patchy areas of periventricular and subcortical white matter hypoattenuation. There is a hematoma overlying the left frontotemporal, no underlying fracture is identified. Calcifications are again noted within the distal internal carotid and left middle cerebral artery. The imaged paranasal sinuses and mastoid air cells are clear. No acute fracture. Alignment is normal with a normal cervical lordosis. Vertebral body heights are maintained. The C5 and C6 vertebral bodies are fused. There is significant bilateral neural foraminal narrowing at C3-4, C4-5, and moderate to significant bilateral neural foraminal narrowing at C5-6. No significant spinal canal stenosis. There is scarring in both lung apices. </s>