Compared to approximately 7 hours prior there is no significant change in subdural fluid collection along the right frontoparietal convexity which measures up to 11 mm in thickness with minimal local mass effect. No midline shift or herniation. The subdural fluid collection demonstrates intermediate density, higher than CSF. Trace more hyperdense subdural layering along the right posterior falx and tentorium is also again seen. No intraparenchymal or subarachnoid hemorrhage. There is global parenchymal volume loss, commensurate with patients age. There are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic disease. More focal areas of low density are seen in the basal ganglia and right thalamus, similar to prior. Paranasal sinuses are grossly clear. There is trace fluid in the right mastoid air cells. Left-sided intraocular lens replacement. Again seen is evidence of prior hardware fixation involving the anterior maxillary sinus and lateral orbital walls. Evidence of left-sided burr hole also again seen. No evidence of acute calvarial fracture.
size_fin: [{'size': '11 mm', 'size_descriptor': 'change'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'minimal local mass effect': {'clinical finding': 'minimal local mass effect', 'existence': 'pos_dx', 'descriptive_term': 'minimal local mass', 'observation': 'effect', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'intermediate density': {'clinical finding': 'intermediate density', 'existence': 'pos_dx', 'descriptive_term': 'intermediate', 'observation': 'density'}}imaging observation_fin: ['falx']location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'more hyperdense subdural': {'clinical finding': 'more hyperdense subdural', 'existence': 'pos_dx', 'descriptive_term': 'more hyperdense', 'observation': 'subdural', 'quantity_term': 'more'}}clinical findings_fin: {'intraparenchymal or subarachnoid hemorrhage': {'clinical finding': 'intraparenchymal or subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'neg_dx', 'descriptive_term': 'intraparenchymal or subarachnoid', 'observation': 'hemorrhage'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basal ganglia': {}, 'right thalamus': {}}clinical findings_fin: {'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']anatomical entity_fin: {'lens': {}}location descriptor_fin: ['left']anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'anterior'}, 'walls': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'prior hardware fixation': {'clinical finding': 'prior hardware fixation', 'existence': 'pos_dx', 'descriptive_term': 'prior hardware', 'observation': 'fixation'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided burr hole': {'clinical finding': 'left-sided burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left-sided burr', 'observation': 'hole'}}clinical findings_fin: {'acute calvarial fracture': {'clinical finding': 'acute calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute calvarial', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '11 mm', 'size_descriptor': 'change'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'minimal local mass effect': {'clinical finding': 'minimal local mass effect', 'existence': 'pos_dx', 'descriptive_term': 'minimal local mass', 'observation': 'effect', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'intermediate density': {'clinical finding': 'intermediate density', 'existence': 'pos_dx', 'descriptive_term': 'intermediate', 'observation': 'density'}}imaging observation_fin: ['falx']location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'more hyperdense subdural': {'clinical finding': 'more hyperdense subdural', 'existence': 'pos_dx', 'descriptive_term': 'more hyperdense', 'observation': 'subdural', 'quantity_term': 'more'}}clinical findings_fin: {'intraparenchymal or subarachnoid hemorrhage': {'clinical finding': 'intraparenchymal or subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'neg_dx', 'descriptive_term': 'intraparenchymal or subarachnoid', 'observation': 'hemorrhage'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basal ganglia': {}, 'right thalamus': {}}clinical findings_fin: {'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']anatomical entity_fin: {'lens': {}}location descriptor_fin: ['left']anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'anterior'}, 'walls': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'prior hardware fixation': {'clinical finding': 'prior hardware fixation', 'existence': 'pos_dx', 'descriptive_term': 'prior hardware', 'observation': 'fixation'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided burr hole': {'clinical finding': 'left-sided burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left-sided burr', 'observation': 'hole'}}clinical findings_fin: {'acute calvarial fracture': {'clinical finding': 'acute calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute calvarial', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}} [/INST] Compared to approximately 7 hours prior there is no significant change in subdural fluid collection along the right frontoparietal convexity which measures up to 11 mm in thickness with minimal local mass effect. No midline shift or herniation. The subdural fluid collection demonstrates intermediate density, higher than CSF. Trace more hyperdense subdural layering along the right posterior falx and tentorium is also again seen. No intraparenchymal or subarachnoid hemorrhage. There is global parenchymal volume loss, commensurate with patients age. There are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic disease. More focal areas of low density are seen in the basal ganglia and right thalamus, similar to prior. Paranasal sinuses are grossly clear. There is trace fluid in the right mastoid air cells. Left-sided intraocular lens replacement. Again seen is evidence of prior hardware fixation involving the anterior maxillary sinus and lateral orbital walls. Evidence of left-sided burr hole also again seen. No evidence of acute calvarial fracture. </s>