The supraglottic edema has resolved. There is no evidence of local tumor recurrence. There is no significant cervical lymphadenopathy. The thyroid gland remains mildly enlarged and heterogeneous without a dominant focal lesion. The major cervical vessels are patent. The airway is patent. There is no focal destructive osseous lesion. Focal white matter hypoattenuation in the anterior aspect of the right temporal lobe has not changed. The lung apices show paraseptal emphysema. In addition, there is reticular opacification in the left upper lobe, which is probably radiation fibrosis.
clinical findings_fin: {'supraglottic edema': {'clinical finding': 'supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'supraglottic', 'observation': 'edema'}}clinical findings_fin: {'local tumor recurrence': {'clinical finding': 'local tumor recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'dominant focal lesion': {'clinical finding': 'dominant focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'dominant focal', 'observation': 'lesion'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'focal destructive osseous lesion': {'clinical finding': 'focal destructive osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'right temporal lobe': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'focal white matter hypoattenuation': {'clinical finding': 'focal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal white matter', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reticular opacification': {'clinical finding': 'reticular opacification', 'existence': 'pos_dx', 'descriptive_term': 'reticular', 'observation': 'opacification'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'supraglottic edema': {'clinical finding': 'supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'supraglottic', 'observation': 'edema'}}clinical findings_fin: {'local tumor recurrence': {'clinical finding': 'local tumor recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'dominant focal lesion': {'clinical finding': 'dominant focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'dominant focal', 'observation': 'lesion'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'focal destructive osseous lesion': {'clinical finding': 'focal destructive osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'right temporal lobe': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'focal white matter hypoattenuation': {'clinical finding': 'focal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal white matter', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reticular opacification': {'clinical finding': 'reticular opacification', 'existence': 'pos_dx', 'descriptive_term': 'reticular', 'observation': 'opacification'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}} [/INST] The supraglottic edema has resolved. There is no evidence of local tumor recurrence. There is no significant cervical lymphadenopathy. The thyroid gland remains mildly enlarged and heterogeneous without a dominant focal lesion. The major cervical vessels are patent. The airway is patent. There is no focal destructive osseous lesion. Focal white matter hypoattenuation in the anterior aspect of the right temporal lobe has not changed. The lung apices show paraseptal emphysema. In addition, there is reticular opacification in the left upper lobe, which is probably radiation fibrosis. </s>