There is no evidence of acute ischemic or hemorrhagic lesion on this scan. Multifocal patchy low attenuation lesions on bilateral periventricular white matter indicating non specific small vessel ischemic disease, no change since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. The osseous structures are unremarkable. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear.
clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal patchy low attenuation lesions': {'clinical finding': 'multifocal patchy low attenuation lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal patchy low attenuation', 'observation': 'lesion'}, 'non specific small vessel ischemic disease': {'clinical finding': 'non specific small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'non specific small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}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'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}, 'contrast enhancement': {'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal patchy low attenuation lesions': {'clinical finding': 'multifocal patchy low attenuation lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal patchy low attenuation', 'observation': 'lesion'}, 'non specific small vessel ischemic disease': {'clinical finding': 'non specific small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'non specific small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}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'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}, 'contrast enhancement': {'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is no evidence of acute ischemic or hemorrhagic lesion on this scan. Multifocal patchy low attenuation lesions on bilateral periventricular white matter indicating non specific small vessel ischemic disease, no change since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. The osseous structures are unremarkable. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>