Redemonstrated are findings compatible with C3-C7 laminoplasty. The posterior arches have been canted towards the left and the spinal canal remains relatively decompressed. Bone graft within the right C4 and right C6 laminectomies has incorporated with the adjacent native bone. Since the prior examination, anterior instrumented fusion has been performed between C6 and C7. The plate and screw device appears to be well positioned. An interbody device is also in place within the obliterated disc space. There may be some degree of osseous fusion between the vertebral body levels within the interbody device. The cervical lordosis is straightened. Spinal alignment is otherwise unremarkable. Discontiguous ossification of the posterior longitudinal ligament is seen from C4 through C7 similar to prior. No spinal canal stenosis or neuroforaminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate to severe bilateral foraminal narrowing. No interval changes. Disc osteophyte formation. Decompression of the spinal canal. Severe bilateral foraminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate left and mild right foraminal narrowing. No interval changes. Obliteration of the disc space with some osteophytic ridging posteriorly. Decompression of the spinal canal. Moderate right foraminal narrowing. No interval changes. No significant spinal canal stenosis. Mild to moderate left foraminal narrowing. No interval changes.
clinical findings_fin: {'c3-c7 laminoplasty': {'clinical finding': 'c3-c7 laminoplasty', 'existence': 'pos_dx', 'descriptive_term': 'c3-c7', 'observation': 'laminoplasty'}}anatomical entity_fin: {'posterior arches': {}, 'spinal canal': {}}location descriptor_fin: ['left']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'bone graft': {}, 'bone': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'bone graft': {'clinical finding': 'bone graft', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'graft'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior instrumented fusion': {'clinical finding': 'anterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'anterior instrumented', 'observation': 'fusion'}}clinical findings_fin: {'plate and screw device': {'clinical finding': 'plate and screw device', 'existence': 'pos_dx', 'descriptive_term': 'plate and screw', 'observation': 'device'}}clinical findings_fin: {'interbody device': {'clinical finding': 'interbody device', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'osseous fusion': {'clinical finding': 'osseous fusion', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'fusion'}, 'interbody device': {'clinical finding': 'interbody device', 'existence': 'unc_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}clinical findings_fin: {'spinal alignment is otherwise unremarkable': {'clinical finding': 'spinal alignment is otherwise unremarkable'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'discontiguous ossification': {'clinical finding': 'discontiguous ossification', 'existence': 'pos_dx', 'descriptive_term': 'discontiguous', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal stenosis': {'clinical finding': 'spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate to severe bilateral foraminal narrowing': {'clinical finding': 'moderate to severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - severe'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral foraminal narrowing': {'clinical finding': 'severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'severe'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right foraminal narrowing': {'clinical finding': 'moderate left and mild right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - mild'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'some osteophytic': {'clinical finding': 'some osteophytic', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'osteophytic', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate right foraminal narrowing': {'clinical finding': 'moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'mild to moderate left foraminal narrowing': {'clinical finding': 'mild to moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'c3-c7 laminoplasty': {'clinical finding': 'c3-c7 laminoplasty', 'existence': 'pos_dx', 'descriptive_term': 'c3-c7', 'observation': 'laminoplasty'}}anatomical entity_fin: {'posterior arches': {}, 'spinal canal': {}}location descriptor_fin: ['left']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'bone graft': {}, 'bone': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'bone graft': {'clinical finding': 'bone graft', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'graft'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior instrumented fusion': {'clinical finding': 'anterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'anterior instrumented', 'observation': 'fusion'}}clinical findings_fin: {'plate and screw device': {'clinical finding': 'plate and screw device', 'existence': 'pos_dx', 'descriptive_term': 'plate and screw', 'observation': 'device'}}clinical findings_fin: {'interbody device': {'clinical finding': 'interbody device', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'osseous fusion': {'clinical finding': 'osseous fusion', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'fusion'}, 'interbody device': {'clinical finding': 'interbody device', 'existence': 'unc_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}clinical findings_fin: {'spinal alignment is otherwise unremarkable': {'clinical finding': 'spinal alignment is otherwise unremarkable'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'discontiguous ossification': {'clinical finding': 'discontiguous ossification', 'existence': 'pos_dx', 'descriptive_term': 'discontiguous', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal stenosis': {'clinical finding': 'spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate to severe bilateral foraminal narrowing': {'clinical finding': 'moderate to severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - severe'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral foraminal narrowing': {'clinical finding': 'severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'severe'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right foraminal narrowing': {'clinical finding': 'moderate left and mild right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - mild'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'some osteophytic': {'clinical finding': 'some osteophytic', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'osteophytic', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate right foraminal narrowing': {'clinical finding': 'moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'mild to moderate left foraminal narrowing': {'clinical finding': 'mild to moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}} [/INST] Redemonstrated are findings compatible with C3-C7 laminoplasty. The posterior arches have been canted towards the left and the spinal canal remains relatively decompressed. Bone graft within the right C4 and right C6 laminectomies has incorporated with the adjacent native bone. Since the prior examination, anterior instrumented fusion has been performed between C6 and C7. The plate and screw device appears to be well positioned. An interbody device is also in place within the obliterated disc space. There may be some degree of osseous fusion between the vertebral body levels within the interbody device. The cervical lordosis is straightened. Spinal alignment is otherwise unremarkable. Discontiguous ossification of the posterior longitudinal ligament is seen from C4 through C7 similar to prior. No spinal canal stenosis or neuroforaminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate to severe bilateral foraminal narrowing. No interval changes. Disc osteophyte formation. Decompression of the spinal canal. Severe bilateral foraminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate left and mild right foraminal narrowing. No interval changes. Obliteration of the disc space with some osteophytic ridging posteriorly. Decompression of the spinal canal. Moderate right foraminal narrowing. No interval changes. No significant spinal canal stenosis. Mild to moderate left foraminal narrowing. No interval changes. </s>