There is deformity of the left hemimandible, presumably relating to postoperative changes from previous nucleation curettage of odontogenic keratocyst. Regarding the maxilla, the inferolateral wall and posterior wall of the right maxillary sinus are essentially absent, with a similar but larger osseous defect on the left, marginated largely by fat density. There is nonspecific soft tissue density within the more focal defect along the superior margin of the left maxillary alveolar process along the remaining left maxillary molar, presumably postoperative. The osseous defect measures approximately 1.3 cm transverse x 1.5 cm CC. There is slight discontinuity of the lingual cortex between ADA #13 and 14. Additional expansile focal lucency is seen between ADA 10 and 11 with severe thinning if not absence of the buccal and lingual cortex in areas. This area of lucency measures 10 x 10 mm in greatest axial dimensions, x 21 mm CC, with central density measuring up to 86 Hounsfield units. There is mild nonspecific prominence of the lateral ventricles. There is focal prominence of extra-axial space along the posterior aspect of the cerebellum, right slightly greater than left side with mild localized mass effect on the cerebellum. This may represent a mega cisterna magna versus retrocerebellar cyst, with the area of CSF density measuring approximately 5.3 x 2.0 cm in greatest axial dimensions. Minimally prominent dural calcifications are seen along the retroclival region which may relate to patients underlying Gorlin syndrome. Intracranial structures are otherwise grossly unremarkable. Postsurgical changes are seen along the anterior cervical spine relating to previous surgical fusion of C3 on C4. The right sphenoid sinus is partially opacified. There is a groundglass appearance of the clivus and central skull base structures.
location descriptor_fin: ['left']clinical findings_fin: {'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'odontogenic keratocyst': {'clinical finding': 'odontogenic keratocyst', 'cf_snomed': {'odontogenic keratocyst': 713277006}, 'existence': 'pos_dx', 'descriptive_term': 'odontogenic', 'observation': 'keratocyst'}}anatomical entity_fin: {'maxilla': {}, 'wall': {'location descriptor': 'posterior'}, 'maxillary sinus': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['inferolateral', 'posterior', 'right', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'similar but larger osseous defect': {'clinical finding': 'similar but larger osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'similar but larger osseous', 'observation': 'defect'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}imaging observation_fin: ['soft tissue density', 'margin']location descriptor_fin: ['superior', 'left']clinical findings_fin: {'nonspecific soft tissue density': {'clinical finding': 'nonspecific soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific soft tissue', 'observation': 'density'}, 'more focal defect': {'clinical finding': 'more focal defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'more focal', 'observation': 'defect', 'quantity_term': 'more'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'transverse'}, {'size': '1.5 cm', 'size_descriptor': 'cc'}]clinical findings_fin: {'osseous defect': {'clinical finding': 'osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'defect'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'slight discontinuity': {'clinical finding': 'slight discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'discontinuity'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'severe thinning': {'clinical finding': 'severe thinning', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thinning', 'strength_term': 'severe'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '21 mm'}]location descriptor_fin: ['central']clinical findings_fin: {'central density': {'clinical finding': 'central density', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'density'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'is mild nonspecific prominence of the lateral ventricles': {'clinical finding': 'is mild nonspecific prominence of the lateral ventricles'}}anatomical entity_fin: {'cerebellum': {}}location descriptor_fin: ['posterior', 'right', 'left']clinical findings_fin: {'mild localized mass effect': {'clinical finding': 'mild localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild localized mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '5.3 x 2.0 cm'}]anatomical entity_fin: {'cisterna magna': {}}clinical findings_fin: {'mega cisterna magna': {'clinical finding': 'mega cisterna magna', 'cf_snomed': {'mega cisterna magna': 447739003}, 'existence': 'unc_dx', 'descriptive_term': 'mega cisterna', 'observation': 'magna'}, 'retrocerebellar cyst': {'clinical finding': 'retrocerebellar cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'retrocerebellar', 'observation': 'cyst'}, 'csf density': {'clinical finding': 'csf density', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'density'}}clinical findings_fin: {'minimally prominent dural calcifications': {'clinical finding': 'minimally prominent dural calcifications', 'existence': 'pos_dx', 'descriptive_term': 'minimally prominent dural', 'observation': 'calcification', 'strength_term': 'prominent'}, 'gorlin syndrome': {'clinical finding': 'gorlin syndrome', 'cf_snomed': {'gorlin syndrome': 69408002}, 'existence': 'unc_dx', 'descriptive_term': 'gorlin', 'observation': 'syndrome'}}clinical findings_fin: {'intracranial structures are otherwise grossly unremarkable': {'clinical finding': 'intracranial structures are otherwise grossly unremarkable'}}anatomical entity_fin: {'cervical spine': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'previous surgical fusion': {'clinical finding': 'previous surgical fusion', 'existence': 'pos_dx', 'descriptive_term': 'previous surgical', 'observation': 'fusion', 'temporal_term': 'previous'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right sphenoid sinus is partially opacified': {'clinical finding': 'right sphenoid sinus is partially opacified', 'cf_snomed': {'sinus': 419351001}, 'change_term': 'opacified'}}anatomical entity_fin: {'clivus': {}, 'skull': {'location descriptor': 'central'}, 'base': {}}location descriptor_fin: ['central']clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'odontogenic keratocyst': {'clinical finding': 'odontogenic keratocyst', 'cf_snomed': {'odontogenic keratocyst': 713277006}, 'existence': 'pos_dx', 'descriptive_term': 'odontogenic', 'observation': 'keratocyst'}}anatomical entity_fin: {'maxilla': {}, 'wall': {'location descriptor': 'posterior'}, 'maxillary sinus': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['inferolateral', 'posterior', 'right', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'similar but larger osseous defect': {'clinical finding': 'similar but larger osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'similar but larger osseous', 'observation': 'defect'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}imaging observation_fin: ['soft tissue density', 'margin']location descriptor_fin: ['superior', 'left']clinical findings_fin: {'nonspecific soft tissue density': {'clinical finding': 'nonspecific soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific soft tissue', 'observation': 'density'}, 'more focal defect': {'clinical finding': 'more focal defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'more focal', 'observation': 'defect', 'quantity_term': 'more'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'transverse'}, {'size': '1.5 cm', 'size_descriptor': 'cc'}]clinical findings_fin: {'osseous defect': {'clinical finding': 'osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'defect'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'slight discontinuity': {'clinical finding': 'slight discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'discontinuity'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'severe thinning': {'clinical finding': 'severe thinning', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thinning', 'strength_term': 'severe'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '21 mm'}]location descriptor_fin: ['central']clinical findings_fin: {'central density': {'clinical finding': 'central density', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'density'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'is mild nonspecific prominence of the lateral ventricles': {'clinical finding': 'is mild nonspecific prominence of the lateral ventricles'}}anatomical entity_fin: {'cerebellum': {}}location descriptor_fin: ['posterior', 'right', 'left']clinical findings_fin: {'mild localized mass effect': {'clinical finding': 'mild localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild localized mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '5.3 x 2.0 cm'}]anatomical entity_fin: {'cisterna magna': {}}clinical findings_fin: {'mega cisterna magna': {'clinical finding': 'mega cisterna magna', 'cf_snomed': {'mega cisterna magna': 447739003}, 'existence': 'unc_dx', 'descriptive_term': 'mega cisterna', 'observation': 'magna'}, 'retrocerebellar cyst': {'clinical finding': 'retrocerebellar cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'retrocerebellar', 'observation': 'cyst'}, 'csf density': {'clinical finding': 'csf density', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'density'}}clinical findings_fin: {'minimally prominent dural calcifications': {'clinical finding': 'minimally prominent dural calcifications', 'existence': 'pos_dx', 'descriptive_term': 'minimally prominent dural', 'observation': 'calcification', 'strength_term': 'prominent'}, 'gorlin syndrome': {'clinical finding': 'gorlin syndrome', 'cf_snomed': {'gorlin syndrome': 69408002}, 'existence': 'unc_dx', 'descriptive_term': 'gorlin', 'observation': 'syndrome'}}clinical findings_fin: {'intracranial structures are otherwise grossly unremarkable': {'clinical finding': 'intracranial structures are otherwise grossly unremarkable'}}anatomical entity_fin: {'cervical spine': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'previous surgical fusion': {'clinical finding': 'previous surgical fusion', 'existence': 'pos_dx', 'descriptive_term': 'previous surgical', 'observation': 'fusion', 'temporal_term': 'previous'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right sphenoid sinus is partially opacified': {'clinical finding': 'right sphenoid sinus is partially opacified', 'cf_snomed': {'sinus': 419351001}, 'change_term': 'opacified'}}anatomical entity_fin: {'clivus': {}, 'skull': {'location descriptor': 'central'}, 'base': {}}location descriptor_fin: ['central']clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}} [/INST] There is deformity of the left hemimandible, presumably relating to postoperative changes from previous nucleation curettage of odontogenic keratocyst. Regarding the maxilla, the inferolateral wall and posterior wall of the right maxillary sinus are essentially absent, with a similar but larger osseous defect on the left, marginated largely by fat density. There is nonspecific soft tissue density within the more focal defect along the superior margin of the left maxillary alveolar process along the remaining left maxillary molar, presumably postoperative. The osseous defect measures approximately 1.3 cm transverse x 1.5 cm CC. There is slight discontinuity of the lingual cortex between ADA #13 and 14. Additional expansile focal lucency is seen between ADA 10 and 11 with severe thinning if not absence of the buccal and lingual cortex in areas. This area of lucency measures 10 x 10 mm in greatest axial dimensions, x 21 mm CC, with central density measuring up to 86 Hounsfield units. There is mild nonspecific prominence of the lateral ventricles. There is focal prominence of extra-axial space along the posterior aspect of the cerebellum, right slightly greater than left side with mild localized mass effect on the cerebellum. This may represent a mega cisterna magna versus retrocerebellar cyst, with the area of CSF density measuring approximately 5.3 x 2.0 cm in greatest axial dimensions. Minimally prominent dural calcifications are seen along the retroclival region which may relate to patients underlying Gorlin syndrome. Intracranial structures are otherwise grossly unremarkable. Postsurgical changes are seen along the anterior cervical spine relating to previous surgical fusion of C3 on C4. The right sphenoid sinus is partially opacified. There is a groundglass appearance of the clivus and central skull base structures. </s>