Overall alignment demonstrates a moderate suspected pes cavus abnormality, difficult to confirm in non-weightbearing exam. Within this limiting study, there are severe degenerative changes most pronounced involving the talonavicular articulation with associated and suspected old remote probable fractures dorsally. Underlying and likely secondary moderate osteoarthritic changes are observed in the subtalar articulation and tibiotalar joints. More distally, articulations are otherwise unremarkable. The previously described corticated ossific density adjacent to the medial malleolus and likely an ossicle, is unchanged in appearance or alignment. The diffuse mild soft tissue swelling remains without superimposed focal acute abnormality. Specifically, there are no abnormal fluid collections or ulcerations.
clinical findings_fin: {'moderate suspected pes cavus abnormality': {'clinical finding': 'moderate suspected pes cavus abnormality', 'existence': 'pos_dx', 'descriptive_term': 'moderate suspected pes cavus', 'observation': 'abnormality', 'strength_term': 'moderate'}}clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}, 'associated and suspected old remote probable fractures': {'clinical finding': 'associated and suspected old remote probable fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'associated and suspected old remote probable', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'joints': {}}clinical findings_fin: {'underlying and likely secondary moderate osteoarthritic changes': {'clinical finding': 'underlying and likely secondary moderate osteoarthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying and likely secondary moderate osteoarthritic', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'more distally , articulations are otherwise unremarkable': {'clinical finding': 'more distally , articulations are otherwise unremarkable'}}anatomical entity_fin: {'medial malleolus': {}, 'ossicle': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'previously described corticated ossific density': {'clinical finding': 'previously described corticated ossific density', 'existence': 'pos_dx', 'descriptive_term': 'previously described corticated ossific', 'observation': 'density'}}clinical findings_fin: {'diffuse mild soft tissue swelling': {'clinical finding': 'diffuse mild soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse mild soft tissue', 'observation': 'swell', 'strength_term': 'mild'}, 'superimposed focal acute abnormality': {'clinical finding': 'superimposed focal acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'superimposed focal acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'ulcerations': {'clinical finding': 'ulcerations', 'existence': 'neg_dx', 'observation': 'ulceration'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'moderate suspected pes cavus abnormality': {'clinical finding': 'moderate suspected pes cavus abnormality', 'existence': 'pos_dx', 'descriptive_term': 'moderate suspected pes cavus', 'observation': 'abnormality', 'strength_term': 'moderate'}}clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}, 'associated and suspected old remote probable fractures': {'clinical finding': 'associated and suspected old remote probable fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'associated and suspected old remote probable', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'joints': {}}clinical findings_fin: {'underlying and likely secondary moderate osteoarthritic changes': {'clinical finding': 'underlying and likely secondary moderate osteoarthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying and likely secondary moderate osteoarthritic', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'more distally , articulations are otherwise unremarkable': {'clinical finding': 'more distally , articulations are otherwise unremarkable'}}anatomical entity_fin: {'medial malleolus': {}, 'ossicle': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'previously described corticated ossific density': {'clinical finding': 'previously described corticated ossific density', 'existence': 'pos_dx', 'descriptive_term': 'previously described corticated ossific', 'observation': 'density'}}clinical findings_fin: {'diffuse mild soft tissue swelling': {'clinical finding': 'diffuse mild soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse mild soft tissue', 'observation': 'swell', 'strength_term': 'mild'}, 'superimposed focal acute abnormality': {'clinical finding': 'superimposed focal acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'superimposed focal acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'ulcerations': {'clinical finding': 'ulcerations', 'existence': 'neg_dx', 'observation': 'ulceration'}} [/INST] Overall alignment demonstrates a moderate suspected pes cavus abnormality, difficult to confirm in non-weightbearing exam. Within this limiting study, there are severe degenerative changes most pronounced involving the talonavicular articulation with associated and suspected old remote probable fractures dorsally. Underlying and likely secondary moderate osteoarthritic changes are observed in the subtalar articulation and tibiotalar joints. More distally, articulations are otherwise unremarkable. The previously described corticated ossific density adjacent to the medial malleolus and likely an ossicle, is unchanged in appearance or alignment. The diffuse mild soft tissue swelling remains without superimposed focal acute abnormality. Specifically, there are no abnormal fluid collections or ulcerations. </s>