Again seen is a comminuted fracture of the distal tibia with fracture lines extending to the tibiotalar articulation. There is minimal displacement and the fracture fragments are grossly in anatomic alignment. Additionally, there is a comminuted fracture of the distal fibula with slight lateral displacement of the distal fracture fragment. There is been interval placement of an external fixation device with screws anchored in the calcaneus and first metatarsal. Areas of serpentine sclerosis are seen in the first metatarsal, calcaneus, and distal tibia, compatible with bone infarct. There is edema in the subcutaneous soft tissues surrounding the ankle.
anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'fracture lines': {'clinical finding': 'fracture lines', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'line'}}clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'fracture fragments': {'clinical finding': 'fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'fragment'}, 'anatomic alignment': {'clinical finding': 'anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment'}}anatomical entity_fin: {'fibula': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'lateral']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'slight lateral displacement': {'clinical finding': 'slight lateral displacement', 'existence': 'pos_dx', 'descriptive_term': 'slight lateral', 'observation': 'displacement'}, 'distal fracture fragment': {'clinical finding': 'distal fracture fragment', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'}}anatomical entity_fin: {'calcaneus': {}, 'metatarsal': {}}location descriptor_fin: ['external']object_fin: ['fixation device']clinical findings_fin: {'external fixation device': {'clinical finding': 'external fixation device', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'device'}}anatomical entity_fin: {'metatarsal': {}, 'calcaneus': {}, 'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'serpentine sclerosis': {'clinical finding': 'serpentine sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'sclerosis'}, 'bone infarct': {'clinical finding': 'bone infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'infarct'}}anatomical entity_fin: {'ankle': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'fracture lines': {'clinical finding': 'fracture lines', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'line'}}clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'fracture fragments': {'clinical finding': 'fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'fragment'}, 'anatomic alignment': {'clinical finding': 'anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment'}}anatomical entity_fin: {'fibula': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'lateral']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'slight lateral displacement': {'clinical finding': 'slight lateral displacement', 'existence': 'pos_dx', 'descriptive_term': 'slight lateral', 'observation': 'displacement'}, 'distal fracture fragment': {'clinical finding': 'distal fracture fragment', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'}}anatomical entity_fin: {'calcaneus': {}, 'metatarsal': {}}location descriptor_fin: ['external']object_fin: ['fixation device']clinical findings_fin: {'external fixation device': {'clinical finding': 'external fixation device', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'device'}}anatomical entity_fin: {'metatarsal': {}, 'calcaneus': {}, 'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'serpentine sclerosis': {'clinical finding': 'serpentine sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'sclerosis'}, 'bone infarct': {'clinical finding': 'bone infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'infarct'}}anatomical entity_fin: {'ankle': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}} [/INST] Again seen is a comminuted fracture of the distal tibia with fracture lines extending to the tibiotalar articulation. There is minimal displacement and the fracture fragments are grossly in anatomic alignment. Additionally, there is a comminuted fracture of the distal fibula with slight lateral displacement of the distal fracture fragment. There is been interval placement of an external fixation device with screws anchored in the calcaneus and first metatarsal. Areas of serpentine sclerosis are seen in the first metatarsal, calcaneus, and distal tibia, compatible with bone infarct. There is edema in the subcutaneous soft tissues surrounding the ankle. </s>