Images are slightly limited by patient motion, especially at the level of the base of tongue, epiglottis and valleculae. Within these limitations, there is a prominent low-density structure along the left greater than right base of tongue, obscuring the lower part of the petiole. This measures 24 Hounsfield units. The margins are difficult to delineate, although it measures approximately 1.2 x 2.0 cm in greatest axial dimensions on 6/48. There is essentially effacement of the left vallecula, with diminutive size of the right vallecula. The left piriform sinus is slightly smaller than the right. No significant asymmetric enhancing tissue is identified at the base of tongue. This area is better visualized on the angled delayed postcontrast images. There is suggestion of slight focal medialization of the left true vocal cord, although evaluation is limited by artifact at this level. PHARYNX/. Prominent bilateral coarse consultations are seen in the palatine tonsils, consistent with tonsilliths. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. There are no pathologically enlarged cervical lymph nodes. There is mild-moderate multilevel spondylotic changes most conspicuous at C3-C4 where there is a dominant posterior osteophyte disk complex resulting in up to moderate central spinal stenosis. There is moderate bilateral foraminal narrowing at C4-C5 and C5-C6. There is minimal nonspecific nodular opacity peripherally in the right upper lobe. A left-sided AICD is partially visualized.
anatomical entity_fin: {'base': {}, 'tongue': {}, 'epiglottis': {}}clinical findings_fin: {'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae': {'clinical finding': 'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae'}}anatomical entity_fin: {'base': {'location descriptor': 'right'}, 'tongue': {}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'prominent low-density': {'clinical finding': 'prominent low-density', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'low', 'strength_term': 'prominent'}}size_fin: [{'size': '1.2 x 2.0 cm', 'size_descriptor': 'margins'}]imaging observation_fin: ['margins']clinical findings_fin: {'margins are difficult': {'clinical finding': 'margins are difficult'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'base': {}, 'tongue': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'significant asymmetric enhancing tissue': {'clinical finding': 'significant asymmetric enhancing tissue', 'existence': 'neg_dx', 'descriptive_term': 'significant asymmetric enhancing', 'observation': 'tissue'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'slight focal medialization': {'clinical finding': 'slight focal medialization', 'existence': 'unc_dx', 'descriptive_term': 'slight focal', 'observation': 'medialization'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'palatine tonsils': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'prominent bilateral coarse': {'clinical finding': 'prominent bilateral coarse', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral', 'observation': 'coarse', 'strength_term': 'prominent'}, 'tonsilliths': {'clinical finding': 'tonsilliths', 'existence': 'pos_dx', 'observation': 'tonsillith'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise 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: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'pathologically enlarged cervical lymph nodes': {'clinical finding': 'pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spinal': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild-moderate multilevel spondylotic changes': {'clinical finding': 'mild-moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'mild - moderate'}, 'dominant posterior osteophyte disk complex': {'clinical finding': 'dominant posterior osteophyte disk complex', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'dominant posterior osteophyte disk', 'observation': 'complex'}, 'up to moderate central spinal stenosis': {'clinical finding': 'up to moderate central spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'up to moderate central spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal narrowing': {'clinical finding': 'moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'minimal nonspecific nodular opacity': {'clinical finding': 'minimal nonspecific nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific nodular', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd is partially visualized': {'clinical finding': 'left-sided aicd is partially visualized'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'base': {}, 'tongue': {}, 'epiglottis': {}}clinical findings_fin: {'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae': {'clinical finding': 'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae'}}anatomical entity_fin: {'base': {'location descriptor': 'right'}, 'tongue': {}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'prominent low-density': {'clinical finding': 'prominent low-density', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'low', 'strength_term': 'prominent'}}size_fin: [{'size': '1.2 x 2.0 cm', 'size_descriptor': 'margins'}]imaging observation_fin: ['margins']clinical findings_fin: {'margins are difficult': {'clinical finding': 'margins are difficult'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'base': {}, 'tongue': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'significant asymmetric enhancing tissue': {'clinical finding': 'significant asymmetric enhancing tissue', 'existence': 'neg_dx', 'descriptive_term': 'significant asymmetric enhancing', 'observation': 'tissue'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'slight focal medialization': {'clinical finding': 'slight focal medialization', 'existence': 'unc_dx', 'descriptive_term': 'slight focal', 'observation': 'medialization'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'palatine tonsils': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'prominent bilateral coarse': {'clinical finding': 'prominent bilateral coarse', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral', 'observation': 'coarse', 'strength_term': 'prominent'}, 'tonsilliths': {'clinical finding': 'tonsilliths', 'existence': 'pos_dx', 'observation': 'tonsillith'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise 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: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'pathologically enlarged cervical lymph nodes': {'clinical finding': 'pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spinal': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild-moderate multilevel spondylotic changes': {'clinical finding': 'mild-moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'mild - moderate'}, 'dominant posterior osteophyte disk complex': {'clinical finding': 'dominant posterior osteophyte disk complex', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'dominant posterior osteophyte disk', 'observation': 'complex'}, 'up to moderate central spinal stenosis': {'clinical finding': 'up to moderate central spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'up to moderate central spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal narrowing': {'clinical finding': 'moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'minimal nonspecific nodular opacity': {'clinical finding': 'minimal nonspecific nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific nodular', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd is partially visualized': {'clinical finding': 'left-sided aicd is partially visualized'}} [/INST] Images are slightly limited by patient motion, especially at the level of the base of tongue, epiglottis and valleculae. Within these limitations, there is a prominent low-density structure along the left greater than right base of tongue, obscuring the lower part of the petiole. This measures 24 Hounsfield units. The margins are difficult to delineate, although it measures approximately 1.2 x 2.0 cm in greatest axial dimensions on 6/48. There is essentially effacement of the left vallecula, with diminutive size of the right vallecula. The left piriform sinus is slightly smaller than the right. No significant asymmetric enhancing tissue is identified at the base of tongue. This area is better visualized on the angled delayed postcontrast images. There is suggestion of slight focal medialization of the left true vocal cord, although evaluation is limited by artifact at this level. PHARYNX/. Prominent bilateral coarse consultations are seen in the palatine tonsils, consistent with tonsilliths. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. There are no pathologically enlarged cervical lymph nodes. There is mild-moderate multilevel spondylotic changes most conspicuous at C3-C4 where there is a dominant posterior osteophyte disk complex resulting in up to moderate central spinal stenosis. There is moderate bilateral foraminal narrowing at C4-C5 and C5-C6. There is minimal nonspecific nodular opacity peripherally in the right upper lobe. A left-sided AICD is partially visualized. </s>