Enhanced head. Examination demonstrates postoperative changes of a small left posterior parietal craniotomy for resection of tumor. A low-attenuation surgical cavity measures at approximately 14 x 6 x 13 mm is detected. There is minimal increased density immediately under the surgical flap which could represent postoperative blood product or enhancement. There are no precontrast images. Possibility of residual tumor is a consideration and follow-up with an MRI exam would be more sensitive for detection of residual tumor. A tiny focus of enhancement in the right superior frontal gyrus measures approximately a 3 mm which is not significantly different when compared to the prior MRI exam. No detectable additional foci of parenchymal or leptomeningeal enhancement. Ventricular system and CSF spaces are within normal and with maintained midline. Calvarium demonstrate no lytic or sclerotic changes. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells.
anatomical entity_fin: {'head': {}}clinical findings_fin: {'enhanced head': {'clinical finding': 'enhanced head'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '14 x 6 x 13 mm', 'size_descriptor': 'cavity'}]clinical findings_fin: {'low-attenuation surgical cavity': {'clinical finding': 'low-attenuation surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation surgical', 'observation': 'cavity'}}imaging observation_fin: ['blood']clinical findings_fin: {'minimal increased density': {'clinical finding': 'minimal increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'minimal increased', 'observation': 'density', 'strength_term': 'minimal - increased', 'quantity_term': 'minimal', 'change_term': 'increased'}, 'surgical flap': {'clinical finding': 'surgical flap', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'flap'}, 'postoperative blood product': {'clinical finding': 'postoperative blood product', 'existence': 'unc_dx', 'descriptive_term': 'postoperative blood', 'observation': 'product'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}}clinical findings_fin: {'residual tumor_1': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}, 'residual tumor_2': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '3 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'right superior frontal gyrus': {}}clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}imaging observation_fin: ['foci']clinical findings_fin: {'detectable additional foci': {'clinical finding': 'detectable additional foci', 'existence': 'neg_dx', 'descriptive_term': 'detectable additional', 'observation': 'foci'}, 'parenchymal or leptomeningeal enhancement': {'clinical finding': 'parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal or leptomeningeal', 'observation': 'enhancement'}}location descriptor_fin: ['midline']clinical findings_fin: {'ventricular system and csf spaces are within normal and with maintained midline': {'clinical finding': 'ventricular system and csf spaces are within normal and with maintained midline', 'change_term': 'maintained'}}clinical findings_fin: {'lytic or sclerotic changes': {'clinical finding': 'lytic or sclerotic changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic or sclerotic', 'observation': 'change'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , paranasal sinuses and mastoid air cells'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'enhanced head': {'clinical finding': 'enhanced head'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '14 x 6 x 13 mm', 'size_descriptor': 'cavity'}]clinical findings_fin: {'low-attenuation surgical cavity': {'clinical finding': 'low-attenuation surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation surgical', 'observation': 'cavity'}}imaging observation_fin: ['blood']clinical findings_fin: {'minimal increased density': {'clinical finding': 'minimal increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'minimal increased', 'observation': 'density', 'strength_term': 'minimal - increased', 'quantity_term': 'minimal', 'change_term': 'increased'}, 'surgical flap': {'clinical finding': 'surgical flap', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'flap'}, 'postoperative blood product': {'clinical finding': 'postoperative blood product', 'existence': 'unc_dx', 'descriptive_term': 'postoperative blood', 'observation': 'product'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}}clinical findings_fin: {'residual tumor_1': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}, 'residual tumor_2': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '3 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'right superior frontal gyrus': {}}clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}imaging observation_fin: ['foci']clinical findings_fin: {'detectable additional foci': {'clinical finding': 'detectable additional foci', 'existence': 'neg_dx', 'descriptive_term': 'detectable additional', 'observation': 'foci'}, 'parenchymal or leptomeningeal enhancement': {'clinical finding': 'parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal or leptomeningeal', 'observation': 'enhancement'}}location descriptor_fin: ['midline']clinical findings_fin: {'ventricular system and csf spaces are within normal and with maintained midline': {'clinical finding': 'ventricular system and csf spaces are within normal and with maintained midline', 'change_term': 'maintained'}}clinical findings_fin: {'lytic or sclerotic changes': {'clinical finding': 'lytic or sclerotic changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic or sclerotic', 'observation': 'change'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , paranasal sinuses and mastoid air cells'}} [/INST] Enhanced head. Examination demonstrates postoperative changes of a small left posterior parietal craniotomy for resection of tumor. A low-attenuation surgical cavity measures at approximately 14 x 6 x 13 mm is detected. There is minimal increased density immediately under the surgical flap which could represent postoperative blood product or enhancement. There are no precontrast images. Possibility of residual tumor is a consideration and follow-up with an MRI exam would be more sensitive for detection of residual tumor. A tiny focus of enhancement in the right superior frontal gyrus measures approximately a 3 mm which is not significantly different when compared to the prior MRI exam. No detectable additional foci of parenchymal or leptomeningeal enhancement. Ventricular system and CSF spaces are within normal and with maintained midline. Calvarium demonstrate no lytic or sclerotic changes. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells. </s>