PHARYNX/. The nasopharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable postcontrast appearance. The thyroid gland is unremarkable. There is an area of abnormal enhancement in the right lateral aspect of the oral tongue extending posteriorly to the level of the anterior tonsillar pillar and measuring approximately 47 x 10 mm , correlating with a known history of tongue cancer. A more nodular component anterolaterally measures approximately 13 x 10 mm. The tumor abuts the posterior aspect of the right mylohyoid muscle. There is no adjacent osseous destruction. There is mild asymmetric prominence of right-sided cervical lymph nodes. For reference, a right level 1B lymph node measures 10 x 5 mm and did not show significant FDG activity on prior PET imaging. A right level 2 lymph node measures 12 x 9 mm with mild FDG uptake on prior PET imaging. A right level 3 lymph node measures 8 x 6 mm , appears somewhat rounded, and was previously seen to show increased FDG uptake on prior PET imaging. Small left-sided cervical lymph nodes are noted. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. There is minimal scattered paranasal sinus mucosal thickening. Moderate degenerative changes affect cervical spine. No destructive osseous lesions are noted. The visualized lung apices show centrilobular emphysema. Scattered small mediastinal lymph nodes are partially imaged. See same-day CT chest for further evaluation. A retropharyngeal right carotid course is noted. There is atherosclerotic calcification of the bilateral common and internal carotid arteries, without significant focal narrowing, as well as extensive atherosclerotic calcification of the partially imaged thoracic aorta and its branches.
anatomical entity_fin: {'nasopharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}size_fin: [{'size': '47 x 10 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'tongue': {}}location descriptor_fin: ['right', 'lateral', 'anterior']clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'tongue cancer': {'clinical finding': 'tongue cancer', 'existence': 'pos_dx', 'descriptive_term': 'tongue', 'observation': 'cancer'}}size_fin: [{'size': '13 x 10 mm', 'size_descriptor': 'component'}]clinical findings_fin: {'more nodular component anterolaterally measures': {'clinical finding': 'more nodular component anterolaterally measures'}}anatomical entity_fin: {'mylohyoid muscle': {'location descriptor': 'right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent osseous destruction': {'clinical finding': 'adjacent osseous destruction', 'existence': 'neg_dx', 'descriptive_term': 'adjacent osseous', 'observation': 'destruction'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided cervical lymph nodes': {'clinical finding': 'right-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right-sided cervical lymph', 'observation': 'node'}}size_fin: [{'size': '10 x 5 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 1b lymph node': {'clinical finding': 'right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1b lymph', 'observation': 'node'}}size_fin: [{'size': '12 x 9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 2 lymph node': {'clinical finding': 'right level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2 lymph', 'observation': 'node'}, 'mild fdg uptake': {'clinical finding': 'mild fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'mild fdg', 'observation': 'uptake', 'strength_term': 'mild'}}size_fin: [{'size': '8 x 6 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}, 'increased fdg uptake': {'clinical finding': 'increased fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'increased fdg', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'small left-sided cervical lymph nodes': {'clinical finding': 'small left-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided cervical lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'minimal scattered paranasal sinus mucosal thickening': {'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal right carotid course': {'clinical finding': 'retropharyngeal right carotid course', 'existence': 'pos_dx', 'descriptive_term': 'retropharyngeal right carotid', 'observation': 'course'}}anatomical entity_fin: {'internal carotid arteries': {}, 'thoracic aorta': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'significant focal narrowing': {'clinical finding': 'significant focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant focal', 'observation': 'narrowing'}, 'extensive atherosclerotic calcification': {'clinical finding': 'extensive atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'nasopharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}size_fin: [{'size': '47 x 10 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'tongue': {}}location descriptor_fin: ['right', 'lateral', 'anterior']clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'tongue cancer': {'clinical finding': 'tongue cancer', 'existence': 'pos_dx', 'descriptive_term': 'tongue', 'observation': 'cancer'}}size_fin: [{'size': '13 x 10 mm', 'size_descriptor': 'component'}]clinical findings_fin: {'more nodular component anterolaterally measures': {'clinical finding': 'more nodular component anterolaterally measures'}}anatomical entity_fin: {'mylohyoid muscle': {'location descriptor': 'right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent osseous destruction': {'clinical finding': 'adjacent osseous destruction', 'existence': 'neg_dx', 'descriptive_term': 'adjacent osseous', 'observation': 'destruction'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided cervical lymph nodes': {'clinical finding': 'right-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right-sided cervical lymph', 'observation': 'node'}}size_fin: [{'size': '10 x 5 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 1b lymph node': {'clinical finding': 'right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1b lymph', 'observation': 'node'}}size_fin: [{'size': '12 x 9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 2 lymph node': {'clinical finding': 'right level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2 lymph', 'observation': 'node'}, 'mild fdg uptake': {'clinical finding': 'mild fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'mild fdg', 'observation': 'uptake', 'strength_term': 'mild'}}size_fin: [{'size': '8 x 6 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}, 'increased fdg uptake': {'clinical finding': 'increased fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'increased fdg', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'small left-sided cervical lymph nodes': {'clinical finding': 'small left-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided cervical lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'minimal scattered paranasal sinus mucosal thickening': {'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal right carotid course': {'clinical finding': 'retropharyngeal right carotid course', 'existence': 'pos_dx', 'descriptive_term': 'retropharyngeal right carotid', 'observation': 'course'}}anatomical entity_fin: {'internal carotid arteries': {}, 'thoracic aorta': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'significant focal narrowing': {'clinical finding': 'significant focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant focal', 'observation': 'narrowing'}, 'extensive atherosclerotic calcification': {'clinical finding': 'extensive atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive'}} [/INST] PHARYNX/. The nasopharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable postcontrast appearance. The thyroid gland is unremarkable. There is an area of abnormal enhancement in the right lateral aspect of the oral tongue extending posteriorly to the level of the anterior tonsillar pillar and measuring approximately 47 x 10 mm , correlating with a known history of tongue cancer. A more nodular component anterolaterally measures approximately 13 x 10 mm. The tumor abuts the posterior aspect of the right mylohyoid muscle. There is no adjacent osseous destruction. There is mild asymmetric prominence of right-sided cervical lymph nodes. For reference, a right level 1B lymph node measures 10 x 5 mm and did not show significant FDG activity on prior PET imaging. A right level 2 lymph node measures 12 x 9 mm with mild FDG uptake on prior PET imaging. A right level 3 lymph node measures 8 x 6 mm , appears somewhat rounded, and was previously seen to show increased FDG uptake on prior PET imaging. Small left-sided cervical lymph nodes are noted. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. There is minimal scattered paranasal sinus mucosal thickening. Moderate degenerative changes affect cervical spine. No destructive osseous lesions are noted. The visualized lung apices show centrilobular emphysema. Scattered small mediastinal lymph nodes are partially imaged. See same-day CT chest for further evaluation. A retropharyngeal right carotid course is noted. There is atherosclerotic calcification of the bilateral common and internal carotid arteries, without significant focal narrowing, as well as extensive atherosclerotic calcification of the partially imaged thoracic aorta and its branches. </s>