Redemonstration of abnormalities consistent with known history of nonaccidental trauma. These include a left subacute subdural hematoma measuring 13 mm in the axial plane , unchanged. The possibility of a right, smaller chronic frontal convexity subdural hematoma remains and measures up to 8 mm in the axial plane or represent superimposed benign enlargement of the subarachnoid space. Further, cortical areas of scattered areas of hyperattenuation and hypoattenuation along the left cerebral cortex and the right posterior parietal cortex and occipital cortex are suggest subacute parenchymal hemorrhage and or or laminar necrosis. There is also an area of acute parenchymal hemorrhage in the right occipital lobe measuring 15 x 16 mm in the axial plane , unchanged. There continues to be 3 mm of rightward midline shift, left sulcal effacement, and mass effect on the left lateral ventricle. There remains concern for global hypoxic ischemic encephalopathy with supratentorial global hypoattenuation sparing the right frontal lobe, bilateral basal ganglia, and cerebellum. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact.
clinical findings_fin: {'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'pos_dx', 'observation': 'abnormality'}, 'nonaccidental trauma': {'clinical finding': 'nonaccidental trauma', 'existence': 'pos_dx', 'descriptive_term': 'nonaccidental', 'observation': 'trauma'}}size_fin: [{'size': '13 mm'}]anatomical entity_fin: {'axial plane': {}}location descriptor_fin: ['left']clinical findings_fin: {'left subacute subdural hematoma': {'clinical finding': 'left subacute subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'left subacute subdural', 'observation': 'hematoma'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'possibility'}]anatomical entity_fin: {'convexity': {}, 'axial plane': {}, 'subarachnoid space': {}}location descriptor_fin: ['right']clinical findings_fin: {'right, smaller chronic frontal convexity subdural hematoma': {'clinical finding': 'right, smaller chronic frontal convexity subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'unc_dx', 'descriptive_term': 'right smaller chronic frontal convexity subdural', 'observation': 'hematoma', 'temporal_term': 'chronic'}}anatomical entity_fin: {'cerebral cortex': {'location descriptor': 'left'}, 'cortex': {}}location descriptor_fin: ['left', 'right', 'posterior']clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'subacute parenchymal hemorrhage': {'clinical finding': 'subacute parenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'subacute parenchymal', 'observation': 'hemorrhage'}, 'or or laminar necrosis': {'clinical finding': 'or or laminar necrosis', 'cf_snomed': {'laminar necrosis': 74573007}, 'existence': 'unc_dx', 'descriptive_term': 'or or laminar', 'observation': 'necrosis'}}size_fin: [{'size': '15 x 16 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'right occipital lobe': {}, 'axial plane': {}}clinical findings_fin: {'acute parenchymal hemorrhage': {'clinical finding': 'acute parenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'acute parenchymal', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['midline', 'left']clinical findings_fin: {'left sulcal effacement': {'clinical finding': 'left sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'left sulcal', 'observation': 'effacement'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'right frontal lobe': {}, 'basal ganglia': {'location descriptor': 'bilateral'}, 'cerebellum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'global hypoxic ischemic encephalopathy': {'clinical finding': 'global hypoxic ischemic encephalopathy', 'cf_snomed': {'hypoxic ischemic encephalopathy': 703300001}, 'existence': 'unc_dx', 'descriptive_term': 'global hypoxic ischemic', 'observation': 'encephalopathy'}, 'supratentorial global hypoattenuation': {'clinical finding': 'supratentorial global hypoattenuation', 'existence': 'unc_dx', 'descriptive_term': 'supratentorial global', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'pos_dx', 'observation': 'abnormality'}, 'nonaccidental trauma': {'clinical finding': 'nonaccidental trauma', 'existence': 'pos_dx', 'descriptive_term': 'nonaccidental', 'observation': 'trauma'}}size_fin: [{'size': '13 mm'}]anatomical entity_fin: {'axial plane': {}}location descriptor_fin: ['left']clinical findings_fin: {'left subacute subdural hematoma': {'clinical finding': 'left subacute subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'left subacute subdural', 'observation': 'hematoma'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'possibility'}]anatomical entity_fin: {'convexity': {}, 'axial plane': {}, 'subarachnoid space': {}}location descriptor_fin: ['right']clinical findings_fin: {'right, smaller chronic frontal convexity subdural hematoma': {'clinical finding': 'right, smaller chronic frontal convexity subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'unc_dx', 'descriptive_term': 'right smaller chronic frontal convexity subdural', 'observation': 'hematoma', 'temporal_term': 'chronic'}}anatomical entity_fin: {'cerebral cortex': {'location descriptor': 'left'}, 'cortex': {}}location descriptor_fin: ['left', 'right', 'posterior']clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'subacute parenchymal hemorrhage': {'clinical finding': 'subacute parenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'subacute parenchymal', 'observation': 'hemorrhage'}, 'or or laminar necrosis': {'clinical finding': 'or or laminar necrosis', 'cf_snomed': {'laminar necrosis': 74573007}, 'existence': 'unc_dx', 'descriptive_term': 'or or laminar', 'observation': 'necrosis'}}size_fin: [{'size': '15 x 16 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'right occipital lobe': {}, 'axial plane': {}}clinical findings_fin: {'acute parenchymal hemorrhage': {'clinical finding': 'acute parenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'acute parenchymal', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['midline', 'left']clinical findings_fin: {'left sulcal effacement': {'clinical finding': 'left sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'left sulcal', 'observation': 'effacement'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'right frontal lobe': {}, 'basal ganglia': {'location descriptor': 'bilateral'}, 'cerebellum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'global hypoxic ischemic encephalopathy': {'clinical finding': 'global hypoxic ischemic encephalopathy', 'cf_snomed': {'hypoxic ischemic encephalopathy': 703300001}, 'existence': 'unc_dx', 'descriptive_term': 'global hypoxic ischemic', 'observation': 'encephalopathy'}, 'supratentorial global hypoattenuation': {'clinical finding': 'supratentorial global hypoattenuation', 'existence': 'unc_dx', 'descriptive_term': 'supratentorial global', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] Redemonstration of abnormalities consistent with known history of nonaccidental trauma. These include a left subacute subdural hematoma measuring 13 mm in the axial plane , unchanged. The possibility of a right, smaller chronic frontal convexity subdural hematoma remains and measures up to 8 mm in the axial plane or represent superimposed benign enlargement of the subarachnoid space. Further, cortical areas of scattered areas of hyperattenuation and hypoattenuation along the left cerebral cortex and the right posterior parietal cortex and occipital cortex are suggest subacute parenchymal hemorrhage and or or laminar necrosis. There is also an area of acute parenchymal hemorrhage in the right occipital lobe measuring 15 x 16 mm in the axial plane , unchanged. There continues to be 3 mm of rightward midline shift, left sulcal effacement, and mass effect on the left lateral ventricle. There remains concern for global hypoxic ischemic encephalopathy with supratentorial global hypoattenuation sparing the right frontal lobe, bilateral basal ganglia, and cerebellum. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. </s>