.There is no evidence of intracranial hemorrhage. There are scattered patchy foci of hypoattenuation within the supratentorial white matter that are most compatible with age indeterminant small vessel ischemic disease. There is diffuse volume loss of the cerebellum and to a lesser extent the brainstem. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm. There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. The common carotid arteries and cervical internal carotid arteries are normal in course and caliber. Both vertebral artery origins are patent. There is no evidence of flow-limiting stenosis or occlusion. There are subcentimeter thyroid nodules. There are degenerative changes of the cervical spine with multilevel disc height loss and end plate degenerative changes as well as grade 1 anterolisthesis of C3 on C4 and minimal grade 1 retrolisthesis of C4 on C5 and C5 on C6. There is probable resultant mild spinal canal stenosis at C3-C4.
clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered patchy foci': {'clinical finding': 'scattered patchy foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered patchy', 'observation': 'foci'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age indeterminant small vessel ischemic disease': {'clinical finding': 'age indeterminant small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminant small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'cerebellum': {}, 'brainstem': {}}clinical findings_fin: {'diffuse volume loss': {'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'}}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: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'intracranial internal carotid arteries are normal in course and caliber': {'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'middle': {}, 'anterior cerebral arteries': {}}clinical findings_fin: {'middle and anterior cerebral arteries are unremarkable': {'clinical finding': 'middle and anterior cerebral arteries are unremarkable'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}, 'posterior cerebral arteries': {}}clinical findings_fin: {'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': {'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'origin': {}, 'left subclavian artery': {}, 'common carotid artery': {'location descriptor': 'left'}, 'brachiocephalic artery': {}}location descriptor_fin: ['left']anatomical entity_fin: {'common carotid arteries': {}, 'internal carotid arteries': {}}clinical findings_fin: {'common carotid arteries and cervical internal carotid arteries are normal in course and caliber': {'clinical finding': 'common carotid arteries and cervical internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'vertebral artery': {}, 'origins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'occlusion': {'clinical finding': 'occlusion', 'existence': 'neg_dx', 'observation': 'occlusion'}}clinical findings_fin: {'subcentimeter thyroid nodules': {'clinical finding': 'subcentimeter thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}, 'end plate': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'multilevel disc height loss': {'clinical finding': 'multilevel disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc height', 'observation': 'loss'}, 'end plate degenerative changes': {'clinical finding': 'end plate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'end plate degenerative', 'observation': 'change'}, 'anterolisthesis': {'clinical finding': 'anterolisthesis', 'existence': 'pos_dx', 'observation': 'anterolisthesis'}, 'retrolisthesis': {'clinical finding': 'retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'observation': 'retrolisthesis'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'probable resultant mild spinal canal stenosis': {'clinical finding': 'probable resultant mild spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'probable resultant mild spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered patchy foci': {'clinical finding': 'scattered patchy foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered patchy', 'observation': 'foci'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age indeterminant small vessel ischemic disease': {'clinical finding': 'age indeterminant small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminant small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'cerebellum': {}, 'brainstem': {}}clinical findings_fin: {'diffuse volume loss': {'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'}}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: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'intracranial internal carotid arteries are normal in course and caliber': {'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'middle': {}, 'anterior cerebral arteries': {}}clinical findings_fin: {'middle and anterior cerebral arteries are unremarkable': {'clinical finding': 'middle and anterior cerebral arteries are unremarkable'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}, 'posterior cerebral arteries': {}}clinical findings_fin: {'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': {'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'origin': {}, 'left subclavian artery': {}, 'common carotid artery': {'location descriptor': 'left'}, 'brachiocephalic artery': {}}location descriptor_fin: ['left']anatomical entity_fin: {'common carotid arteries': {}, 'internal carotid arteries': {}}clinical findings_fin: {'common carotid arteries and cervical internal carotid arteries are normal in course and caliber': {'clinical finding': 'common carotid arteries and cervical internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'vertebral artery': {}, 'origins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'occlusion': {'clinical finding': 'occlusion', 'existence': 'neg_dx', 'observation': 'occlusion'}}clinical findings_fin: {'subcentimeter thyroid nodules': {'clinical finding': 'subcentimeter thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}, 'end plate': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'multilevel disc height loss': {'clinical finding': 'multilevel disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc height', 'observation': 'loss'}, 'end plate degenerative changes': {'clinical finding': 'end plate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'end plate degenerative', 'observation': 'change'}, 'anterolisthesis': {'clinical finding': 'anterolisthesis', 'existence': 'pos_dx', 'observation': 'anterolisthesis'}, 'retrolisthesis': {'clinical finding': 'retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'observation': 'retrolisthesis'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'probable resultant mild spinal canal stenosis': {'clinical finding': 'probable resultant mild spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'probable resultant mild spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}} [/INST] .There is no evidence of intracranial hemorrhage. There are scattered patchy foci of hypoattenuation within the supratentorial white matter that are most compatible with age indeterminant small vessel ischemic disease. There is diffuse volume loss of the cerebellum and to a lesser extent the brainstem. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm. There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. The common carotid arteries and cervical internal carotid arteries are normal in course and caliber. Both vertebral artery origins are patent. There is no evidence of flow-limiting stenosis or occlusion. There are subcentimeter thyroid nodules. There are degenerative changes of the cervical spine with multilevel disc height loss and end plate degenerative changes as well as grade 1 anterolisthesis of C3 on C4 and minimal grade 1 retrolisthesis of C4 on C5 and C5 on C6. There is probable resultant mild spinal canal stenosis at C3-C4. </s>