. Some of the lymph nodes in the neck are smaller, while others have increased in size. For example, a left level 3 lymph node measures 8 x 13 mm, previously 12 x 15 mm, but a left level 5 lymph node measures11 x 14 mm, previously 7 x 9 mm. Likewise, a left parotid lymph node measures 5 x 6 mm, previously 8 x 11 mm, but a right level 3 lymph node measures 10 x 16 mm, previously 5 x 7 mm. There is also increased soft tissue that surrounds the left common carotid artery. There is persistent stranding in the left upper chest and lower neck subcutaneous tissues and left axilla, with thickening of the overlying skin. There has been interval left vocal cord augmentation. The thyroid and major salivary glands are unchanged. There is persistent paucity of opacification of the inferior left internal jugular vein, medial left subclavian vein, and left brachiocephalic vein. The other major cervical vessels otherwise appear to be patent. There is degenerative spondylosis of the cervical spine. There is incomplete fusion of the posterior arch of C1. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There are partially-imaged calcified lymph nodes in the mediastinum. Some of the remaining mandibular teeth are carious. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is a partially-empty sella. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are thin calcifications along the bilateral optic nerve sheaths, left more than right.
anatomical entity_fin: {'neck': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '12 x 15 mm'}, {'size': '11 x 14 mm'}, {'size': '7 x 9 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 3 lymph node': {'clinical finding': 'left level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 3 lymph', 'observation': 'node'}, 'left level 5 lymph node': {'clinical finding': 'left level 5 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 5 lymph', 'observation': 'node'}}size_fin: [{'size': '5 x 6 mm'}, {'size': '8 x 11 mm'}, {'size': '10 x 16 mm'}, {'size': '5 x 7 mm'}]anatomical entity_fin: {'parotid lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'left parotid lymph node': {'clinical finding': 'left parotid lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left parotid lymph', 'observation': 'node'}, 'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'increased soft tissue': {'clinical finding': 'increased soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'increased soft', 'observation': 'tissue', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {'location descriptor': 'left upper'}, 'neck': {'location descriptor': 'lower'}, 'axilla': {'location descriptor': 'left'}, 'skin': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'interval left vocal cord augmentation': {'clinical finding': 'interval left vocal cord augmentation', 'existence': 'pos_dx', 'descriptive_term': 'interval left vocal cord', 'observation': 'augmentation'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unchanged': {'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'inferior left'}, 'left subclavian vein': {}, 'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left', 'medial']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'left brachiocephalic': {'clinical finding': 'left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'brachiocephalic'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'posterior arch': {}}clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'partially-imaged calcified lymph nodes': {'clinical finding': 'partially-imaged calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged calcified lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}imaging observation_fin: ['teeth']clinical findings_fin: {'carious': {'clinical finding': 'carious', 'existence': 'pos_dx', 'observation': 'carious'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'optic nerve': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'thin calcifications': {'clinical finding': 'thin calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thin', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '12 x 15 mm'}, {'size': '11 x 14 mm'}, {'size': '7 x 9 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 3 lymph node': {'clinical finding': 'left level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 3 lymph', 'observation': 'node'}, 'left level 5 lymph node': {'clinical finding': 'left level 5 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 5 lymph', 'observation': 'node'}}size_fin: [{'size': '5 x 6 mm'}, {'size': '8 x 11 mm'}, {'size': '10 x 16 mm'}, {'size': '5 x 7 mm'}]anatomical entity_fin: {'parotid lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'left parotid lymph node': {'clinical finding': 'left parotid lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left parotid lymph', 'observation': 'node'}, 'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'increased soft tissue': {'clinical finding': 'increased soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'increased soft', 'observation': 'tissue', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {'location descriptor': 'left upper'}, 'neck': {'location descriptor': 'lower'}, 'axilla': {'location descriptor': 'left'}, 'skin': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'interval left vocal cord augmentation': {'clinical finding': 'interval left vocal cord augmentation', 'existence': 'pos_dx', 'descriptive_term': 'interval left vocal cord', 'observation': 'augmentation'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unchanged': {'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'inferior left'}, 'left subclavian vein': {}, 'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left', 'medial']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'left brachiocephalic': {'clinical finding': 'left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'brachiocephalic'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'posterior arch': {}}clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'partially-imaged calcified lymph nodes': {'clinical finding': 'partially-imaged calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged calcified lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}imaging observation_fin: ['teeth']clinical findings_fin: {'carious': {'clinical finding': 'carious', 'existence': 'pos_dx', 'observation': 'carious'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'optic nerve': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'thin calcifications': {'clinical finding': 'thin calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thin', 'observation': 'calcification'}} [/INST] . Some of the lymph nodes in the neck are smaller, while others have increased in size. For example, a left level 3 lymph node measures 8 x 13 mm, previously 12 x 15 mm, but a left level 5 lymph node measures11 x 14 mm, previously 7 x 9 mm. Likewise, a left parotid lymph node measures 5 x 6 mm, previously 8 x 11 mm, but a right level 3 lymph node measures 10 x 16 mm, previously 5 x 7 mm. There is also increased soft tissue that surrounds the left common carotid artery. There is persistent stranding in the left upper chest and lower neck subcutaneous tissues and left axilla, with thickening of the overlying skin. There has been interval left vocal cord augmentation. The thyroid and major salivary glands are unchanged. There is persistent paucity of opacification of the inferior left internal jugular vein, medial left subclavian vein, and left brachiocephalic vein. The other major cervical vessels otherwise appear to be patent. There is degenerative spondylosis of the cervical spine. There is incomplete fusion of the posterior arch of C1. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There are partially-imaged calcified lymph nodes in the mediastinum. Some of the remaining mandibular teeth are carious. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is a partially-empty sella. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are thin calcifications along the bilateral optic nerve sheaths, left more than right. </s>