.There is evidence of an old right infraorbital wall fracture with inferior prolapse of extraconal fat, without evidence of extraocular muscle entrapment. Minimal parafalcine subdural hematoma without mass effect is again visualized, not significantly changed compared to prior study. Mild scattered periventricular hypodensities is again seen, likely representing small vessel ischemic disease of indeterminate age. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. No calvarial fracture. The paranasal sinuses are clear. The cervical vertebral bodies are appropriate in overall alignment and height. There is an acute nondisplaced fracture of the right C7 transverse process through the posterior tubercle without extension into the transverse foramen. No other fractures are identified in the cervical spine. There is anterior osteophytosis at multiple cervical levels. There is an acute minimally displaced rib fracture of the neck of the first left rib, extending obliquely into the shaft of the left rib. There is a second acute nondisplaced fracture of the head of the right first rib. The overall spinal alignment is maintained. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy. There is moderate left foraminal stenosis and mild right foraminal stenosis at this level. At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy and mild foraminal narrowing at this level bilaterally. At C5-6 there is no significant compromise to the spinal canal or neural foramina. At C6-7 there is no significant compromise to the spinal canal or neural foramina. At C7-T1 there is no significant compromise to the spinal canal or neural foramina.
anatomical entity_fin: {'wall': {}, 'extraocular muscle': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'old right infraorbital wall fracture': {'clinical finding': 'old right infraorbital wall fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old right infraorbital wall', 'observation': 'fracture', 'temporal_term': 'old'}, 'inferior prolapse': {'clinical finding': 'inferior prolapse', 'cf_snomed': {'prolapse': 29696001}, 'existence': 'pos_dx', 'descriptive_term': 'inferior', 'observation': 'prolapse'}, 'extraconal fat': {'clinical finding': 'extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'extraconal', 'observation': 'fat'}, 'extraocular muscle entrapment': {'clinical finding': 'extraocular muscle entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'neg_dx', 'descriptive_term': 'extraocular muscle', 'observation': 'entrapment'}}clinical findings_fin: {'minimal parafalcine subdural hematoma': {'clinical finding': 'minimal parafalcine subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal parafalcine subdural', 'observation': 'hematoma', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'mild scattered periventricular hypodensities': {'clinical finding': 'mild scattered periventricular hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered periventricular', 'observation': 'hypodensity', 'strength_term': 'mild'}, 'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_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'}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'transverse process': {}, 'tubercle': {'location descriptor': 'posterior'}, 'transverse foramen': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'acute nondisplaced fracture': {'clinical finding': 'acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'other fractures': {'clinical finding': 'other fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior osteophytosis': {'clinical finding': 'anterior osteophytosis', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'osteophytosis'}}anatomical entity_fin: {'rib': {'location descriptor': 'left'}, 'neck': {}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'acute minimally displaced rib fracture': {'clinical finding': 'acute minimally displaced rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute minimally displaced rib', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'change_term': 'displaced'}}anatomical entity_fin: {'head': {}, 'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'second acute nondisplaced fracture': {'clinical finding': 'second acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'second acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c2- 3 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c3 - 4 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left foraminal stenosis': {'clinical finding': 'moderate left foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}, 'mild right foraminal stenosis': {'clinical finding': 'mild right foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild right foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c4 - 5 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c4 - 5 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild foraminal narrowing': {'clinical finding': 'mild foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c5 - 6 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'wall': {}, 'extraocular muscle': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'old right infraorbital wall fracture': {'clinical finding': 'old right infraorbital wall fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old right infraorbital wall', 'observation': 'fracture', 'temporal_term': 'old'}, 'inferior prolapse': {'clinical finding': 'inferior prolapse', 'cf_snomed': {'prolapse': 29696001}, 'existence': 'pos_dx', 'descriptive_term': 'inferior', 'observation': 'prolapse'}, 'extraconal fat': {'clinical finding': 'extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'extraconal', 'observation': 'fat'}, 'extraocular muscle entrapment': {'clinical finding': 'extraocular muscle entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'neg_dx', 'descriptive_term': 'extraocular muscle', 'observation': 'entrapment'}}clinical findings_fin: {'minimal parafalcine subdural hematoma': {'clinical finding': 'minimal parafalcine subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal parafalcine subdural', 'observation': 'hematoma', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'mild scattered periventricular hypodensities': {'clinical finding': 'mild scattered periventricular hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered periventricular', 'observation': 'hypodensity', 'strength_term': 'mild'}, 'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_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'}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'transverse process': {}, 'tubercle': {'location descriptor': 'posterior'}, 'transverse foramen': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'acute nondisplaced fracture': {'clinical finding': 'acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'other fractures': {'clinical finding': 'other fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior osteophytosis': {'clinical finding': 'anterior osteophytosis', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'osteophytosis'}}anatomical entity_fin: {'rib': {'location descriptor': 'left'}, 'neck': {}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'acute minimally displaced rib fracture': {'clinical finding': 'acute minimally displaced rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute minimally displaced rib', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'change_term': 'displaced'}}anatomical entity_fin: {'head': {}, 'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'second acute nondisplaced fracture': {'clinical finding': 'second acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'second acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c2- 3 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c3 - 4 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left foraminal stenosis': {'clinical finding': 'moderate left foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}, 'mild right foraminal stenosis': {'clinical finding': 'mild right foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild right foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c4 - 5 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c4 - 5 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild foraminal narrowing': {'clinical finding': 'mild foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c5 - 6 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}} [/INST] .There is evidence of an old right infraorbital wall fracture with inferior prolapse of extraconal fat, without evidence of extraocular muscle entrapment. Minimal parafalcine subdural hematoma without mass effect is again visualized, not significantly changed compared to prior study. Mild scattered periventricular hypodensities is again seen, likely representing small vessel ischemic disease of indeterminate age. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. No calvarial fracture. The paranasal sinuses are clear. The cervical vertebral bodies are appropriate in overall alignment and height. There is an acute nondisplaced fracture of the right C7 transverse process through the posterior tubercle without extension into the transverse foramen. No other fractures are identified in the cervical spine. There is anterior osteophytosis at multiple cervical levels. There is an acute minimally displaced rib fracture of the neck of the first left rib, extending obliquely into the shaft of the left rib. There is a second acute nondisplaced fracture of the head of the right first rib. The overall spinal alignment is maintained. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy. There is moderate left foraminal stenosis and mild right foraminal stenosis at this level. At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy and mild foraminal narrowing at this level bilaterally. At C5-6 there is no significant compromise to the spinal canal or neural foramina. At C6-7 there is no significant compromise to the spinal canal or neural foramina. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. </s>