.There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. There is global parenchymal volume loss, with the ventricles slightly out of portion to the sulci, probably not significantly changed from the prior study dated 02/2012. There is subcortical and periventricular white matter hypoattenuation, nonspecific but compatible with age-indeterminate small vessel ischemic change. The gray-white matter differentiation is preserved. The osseous structures are intact. The paranasal sinuses and mastoid air cells are clear. There is retropharyngeal course of the right internal carotid artery, with associated mild leftward deviation of the oropharyngeal soft tissues, a similar configuration to that previously seen. A 6 mm ovoid calcified density anterior to the arch of C1 is unchanged from the prior study dated 02/20/2012 and is a nonspecific chronic finding. Otherwise, the nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or discrete fluid collection. The parotid and submandibular glands have a somewhat nodular appearance bilaterally. The thyroid gland is unremarkable. Scattered small cervical lymph nodes are identified without lymphadenopathy. Mild degenerative findings cervical spine appear mildly progressed from the prior study, grossly without evidence of acute abnormality. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent.
anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'subcortical and periventricular white matter hypoattenuation': {'clinical finding': 'subcortical and periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'subcortical and periventricular white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic change': {'clinical finding': 'age-indeterminate small vessel ischemic change', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues': {'clinical finding': 'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior']clinical findings_fin: {'6 mm ovoid calcified density': {'clinical finding': '6 mm ovoid calcified density', 'existence': 'pos_dx', 'descriptive_term': '6 mm ovoid calcified', 'observation': 'density', 'change_term': 'calcified'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'somewhat nodular': {'clinical finding': 'somewhat nodular', 'existence': 'pos_dx', 'descriptive_term': 'somewhat', 'observation': 'nodular'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical': {'clinical finding': 'cervical', 'existence': 'pos_dx', 'observation': 'cervical'}, 'acute abnormality': {'clinical finding': 'acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'subcortical and periventricular white matter hypoattenuation': {'clinical finding': 'subcortical and periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'subcortical and periventricular white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic change': {'clinical finding': 'age-indeterminate small vessel ischemic change', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues': {'clinical finding': 'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior']clinical findings_fin: {'6 mm ovoid calcified density': {'clinical finding': '6 mm ovoid calcified density', 'existence': 'pos_dx', 'descriptive_term': '6 mm ovoid calcified', 'observation': 'density', 'change_term': 'calcified'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'somewhat nodular': {'clinical finding': 'somewhat nodular', 'existence': 'pos_dx', 'descriptive_term': 'somewhat', 'observation': 'nodular'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical': {'clinical finding': 'cervical', 'existence': 'pos_dx', 'observation': 'cervical'}, 'acute abnormality': {'clinical finding': 'acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} [/INST] .There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. There is global parenchymal volume loss, with the ventricles slightly out of portion to the sulci, probably not significantly changed from the prior study dated 02/2012. There is subcortical and periventricular white matter hypoattenuation, nonspecific but compatible with age-indeterminate small vessel ischemic change. The gray-white matter differentiation is preserved. The osseous structures are intact. The paranasal sinuses and mastoid air cells are clear. There is retropharyngeal course of the right internal carotid artery, with associated mild leftward deviation of the oropharyngeal soft tissues, a similar configuration to that previously seen. A 6 mm ovoid calcified density anterior to the arch of C1 is unchanged from the prior study dated 02/20/2012 and is a nonspecific chronic finding. Otherwise, the nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or discrete fluid collection. The parotid and submandibular glands have a somewhat nodular appearance bilaterally. The thyroid gland is unremarkable. Scattered small cervical lymph nodes are identified without lymphadenopathy. Mild degenerative findings cervical spine appear mildly progressed from the prior study, grossly without evidence of acute abnormality. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. </s>