PHARYNX/. Previous supraglottic edema has significantly improved. There remains a trace retropharyngeal effusion remaining. The larynx remains asymmetric in appearance, with greater soft tissue prominence the right along the aryepiglottic fold. The nasopharynx, oropharynx, and hypopharynx are otherwise unremarkable. The upper trachea is unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable, aside from submandibular gland atrophy. The previous subcentimeter right sided thyroid lesion is not well appreciated on this exam. The oral tongue and floor of mouth are unremarkable. There are no pathologically enlarged cervical lymph nodes. There is again partial opacification of the right maxillary sinus with slight thickening of its walls relating to chronic inflammatory changes. Trace aerated secretions are noted in the left maxillary sinus. Atherosclerotic calcifications are noted at the carotid bifurcations. There is biapical pleural parenchymal scarring. In addition, linear scarring with mild bronchiectasis extends along the posterior aspect of the left upper lobe with mild pleural thickening of the left major fissure. There is a partially visualized gastric pull-up with suture line. Please see separately dictated report for CT of the chest for further details. There is a left-sided AICD with electrodes only partially visualized extending towards the superior vena cava. There are moderate multilevel spondylotic changes with left-sided degenerative fusion of the C4-C5 facet.
clinical findings_fin: {'previous supraglottic edema': {'clinical finding': 'previous supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'previous supraglottic', 'observation': 'edema', 'temporal_term': 'previous'}}clinical findings_fin: {'trace retropharyngeal effusion': {'clinical finding': 'trace retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace retropharyngeal', 'observation': 'effusion'}}anatomical entity_fin: {'larynx': {}, 'aryepiglottic fold': {}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric in appearance , with greater soft tissue prominence': {'clinical finding': 'asymmetric in appearance , with greater soft tissue prominence', 'change_term': 'greater'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea is unremarkable': {'clinical finding': 'upper trachea is unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}, 'submandibular gland': {}}clinical findings_fin: {'submandibular gland atrophy': {'clinical finding': 'submandibular gland atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'submandibular gland', 'observation': 'atrophy'}}location descriptor_fin: ['right']clinical findings_fin: {'previous subcentimeter right sided thyroid lesion': {'clinical finding': 'previous subcentimeter right sided thyroid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'previous subcentimeter right sided thyroid', 'observation': 'lesion', 'temporal_term': 'previous'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are unremarkable': {'clinical finding': 'oral tongue and floor of mouth are unremarkable'}}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: {'maxillary sinus': {'location descriptor': 'right'}, 'walls': {}}location descriptor_fin: ['right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'slight thickening': {'clinical finding': 'slight thickening', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'thickening'}, 'chronic inflammatory changes': {'clinical finding': 'chronic inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic inflammatory', 'observation': 'change', 'temporal_term': 'chronic'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'aerated secretions are noted in the left maxillary sinus': {'clinical finding': 'aerated secretions are noted in the left maxillary sinus', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'biapical pleural parenchymal scarring': {'clinical finding': 'biapical pleural parenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical pleural parenchymal', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'left major fissure': {}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}, 'mild pleural thickening': {'clinical finding': 'mild pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'thickening', 'strength_term': 'mild'}}object_fin: ['suture']clinical findings_fin: {'is a partially visualized gastric pull - up with suture line': {'clinical finding': 'is a partially visualized gastric pull - up with suture line', 'cf_snomed': {'suture line': 416502004}}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd with electrodes only partially visualized': {'clinical finding': 'left-sided aicd with electrodes only partially visualized'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['left']clinical findings_fin: {'moderate multilevel spondylotic changes': {'clinical finding': 'moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'moderate'}, 'left-sided degenerative fusion': {'clinical finding': 'left-sided degenerative fusion', 'existence': 'pos_dx', 'descriptive_term': 'left-sided degenerative', 'observation': 'fusion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'previous supraglottic edema': {'clinical finding': 'previous supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'neg_dx', 'descriptive_term': 'previous supraglottic', 'observation': 'edema', 'temporal_term': 'previous'}}clinical findings_fin: {'trace retropharyngeal effusion': {'clinical finding': 'trace retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace retropharyngeal', 'observation': 'effusion'}}anatomical entity_fin: {'larynx': {}, 'aryepiglottic fold': {}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric in appearance , with greater soft tissue prominence': {'clinical finding': 'asymmetric in appearance , with greater soft tissue prominence', 'change_term': 'greater'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and hypopharynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea is unremarkable': {'clinical finding': 'upper trachea is unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}, 'submandibular gland': {}}clinical findings_fin: {'submandibular gland atrophy': {'clinical finding': 'submandibular gland atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'submandibular gland', 'observation': 'atrophy'}}location descriptor_fin: ['right']clinical findings_fin: {'previous subcentimeter right sided thyroid lesion': {'clinical finding': 'previous subcentimeter right sided thyroid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'previous subcentimeter right sided thyroid', 'observation': 'lesion', 'temporal_term': 'previous'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are unremarkable': {'clinical finding': 'oral tongue and floor of mouth are unremarkable'}}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: {'maxillary sinus': {'location descriptor': 'right'}, 'walls': {}}location descriptor_fin: ['right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'slight thickening': {'clinical finding': 'slight thickening', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'thickening'}, 'chronic inflammatory changes': {'clinical finding': 'chronic inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic inflammatory', 'observation': 'change', 'temporal_term': 'chronic'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'aerated secretions are noted in the left maxillary sinus': {'clinical finding': 'aerated secretions are noted in the left maxillary sinus', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'biapical pleural parenchymal scarring': {'clinical finding': 'biapical pleural parenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical pleural parenchymal', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'left major fissure': {}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}, 'mild pleural thickening': {'clinical finding': 'mild pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'thickening', 'strength_term': 'mild'}}object_fin: ['suture']clinical findings_fin: {'is a partially visualized gastric pull - up with suture line': {'clinical finding': 'is a partially visualized gastric pull - up with suture line', 'cf_snomed': {'suture line': 416502004}}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'superior vena cava': {}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd with electrodes only partially visualized': {'clinical finding': 'left-sided aicd with electrodes only partially visualized'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['left']clinical findings_fin: {'moderate multilevel spondylotic changes': {'clinical finding': 'moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'moderate'}, 'left-sided degenerative fusion': {'clinical finding': 'left-sided degenerative fusion', 'existence': 'pos_dx', 'descriptive_term': 'left-sided degenerative', 'observation': 'fusion'}} [/INST] PHARYNX/. Previous supraglottic edema has significantly improved. There remains a trace retropharyngeal effusion remaining. The larynx remains asymmetric in appearance, with greater soft tissue prominence the right along the aryepiglottic fold. The nasopharynx, oropharynx, and hypopharynx are otherwise unremarkable. The upper trachea is unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable, aside from submandibular gland atrophy. The previous subcentimeter right sided thyroid lesion is not well appreciated on this exam. The oral tongue and floor of mouth are unremarkable. There are no pathologically enlarged cervical lymph nodes. There is again partial opacification of the right maxillary sinus with slight thickening of its walls relating to chronic inflammatory changes. Trace aerated secretions are noted in the left maxillary sinus. Atherosclerotic calcifications are noted at the carotid bifurcations. There is biapical pleural parenchymal scarring. In addition, linear scarring with mild bronchiectasis extends along the posterior aspect of the left upper lobe with mild pleural thickening of the left major fissure. There is a partially visualized gastric pull-up with suture line. Please see separately dictated report for CT of the chest for further details. There is a left-sided AICD with electrodes only partially visualized extending towards the superior vena cava. There are moderate multilevel spondylotic changes with left-sided degenerative fusion of the C4-C5 facet. </s>