There is right posterior parieto-occipital soft tissue swelling. There is expected evolution of the previously identified subarachnoid hemorrhage, now layering within the left sylvian fissure, occipital horns of the lateral ventricles, and foramen magnum. There is stable small subdural hemorrhage layering along the right cerebellar tentorium. A right cerebellar hemorrhagic contusion measures 1.9 x 1.1, not substantially changed. There is subtle area of hyperdensity within the medial aspect of the right cerebellum, not substantially changed from prior. There is a subtle area of hyperdensity along the inferior left frontal lobe , possible subarachnoid hemorrhage versus peripheral contusion, more conspicuous compared to prior. There is no midline shift or herniation. There is no intracranial mass or evidence of mass-effect. Gray-white differentiation is maintained. There is mild prominence of the sulci and ventricles, compatible with mild generalized parenchymal volume loss, expected for patients age. There is no hydrocephalus. There are subcortical and periventricular lucencies which are nonspecific, but most compatible with small vessel ischemic disease. Retained secretions are identified within hypoplastic maxillary sinuses, more conspicuous on the left. Mastoid air cells are clear. Calvarium is intact.
location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior parieto-occipital soft tissue swelling': {'clinical finding': 'right posterior parieto-occipital soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior parieto-occipital soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'lateral ventricles': {}, 'foramen magnum': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously identified subarachnoid hemorrhage': {'clinical finding': 'previously identified subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'unc_dx', 'descriptive_term': 'previously identified subarachnoid', 'observation': 'hemorrhage'}, 'left sylvian fissure': {'clinical finding': 'left sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small subdural hemorrhage': {'clinical finding': 'stable small subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'stable small subdural', 'observation': 'hemorrhage', 'strength_term': 'stable - small', 'change_term': 'stable'}}size_fin: [{'size': '1.9 x 1.1', 'size_descriptor': 'contusion'}]location descriptor_fin: ['right']clinical findings_fin: {'right cerebellar hemorrhagic contusion': {'clinical finding': 'right cerebellar hemorrhagic contusion', 'cf_snomed': {'hemorrhagic contusion': 870557002}, 'existence': 'pos_dx', 'descriptive_term': 'right cerebellar hemorrhagic', 'observation': 'contusion'}}anatomical entity_fin: {'cerebellum': {'location descriptor': 'right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior', 'peripheral']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'possible subarachnoid hemorrhage': {'clinical finding': 'possible subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'possible subarachnoid', 'observation': 'hemorrhage'}, 'peripheral contusion': {'clinical finding': 'peripheral contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'contusion'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'mild generalized parenchymal volume loss': {'clinical finding': 'mild generalized parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild generalized parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous': {'clinical finding': 'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior parieto-occipital soft tissue swelling': {'clinical finding': 'right posterior parieto-occipital soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior parieto-occipital soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'lateral ventricles': {}, 'foramen magnum': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously identified subarachnoid hemorrhage': {'clinical finding': 'previously identified subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'unc_dx', 'descriptive_term': 'previously identified subarachnoid', 'observation': 'hemorrhage'}, 'left sylvian fissure': {'clinical finding': 'left sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small subdural hemorrhage': {'clinical finding': 'stable small subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'stable small subdural', 'observation': 'hemorrhage', 'strength_term': 'stable - small', 'change_term': 'stable'}}size_fin: [{'size': '1.9 x 1.1', 'size_descriptor': 'contusion'}]location descriptor_fin: ['right']clinical findings_fin: {'right cerebellar hemorrhagic contusion': {'clinical finding': 'right cerebellar hemorrhagic contusion', 'cf_snomed': {'hemorrhagic contusion': 870557002}, 'existence': 'pos_dx', 'descriptive_term': 'right cerebellar hemorrhagic', 'observation': 'contusion'}}anatomical entity_fin: {'cerebellum': {'location descriptor': 'right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior', 'peripheral']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'possible subarachnoid hemorrhage': {'clinical finding': 'possible subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'possible subarachnoid', 'observation': 'hemorrhage'}, 'peripheral contusion': {'clinical finding': 'peripheral contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'contusion'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'mild generalized parenchymal volume loss': {'clinical finding': 'mild generalized parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild generalized parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous': {'clinical finding': 'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] There is right posterior parieto-occipital soft tissue swelling. There is expected evolution of the previously identified subarachnoid hemorrhage, now layering within the left sylvian fissure, occipital horns of the lateral ventricles, and foramen magnum. There is stable small subdural hemorrhage layering along the right cerebellar tentorium. A right cerebellar hemorrhagic contusion measures 1.9 x 1.1, not substantially changed. There is subtle area of hyperdensity within the medial aspect of the right cerebellum, not substantially changed from prior. There is a subtle area of hyperdensity along the inferior left frontal lobe , possible subarachnoid hemorrhage versus peripheral contusion, more conspicuous compared to prior. There is no midline shift or herniation. There is no intracranial mass or evidence of mass-effect. Gray-white differentiation is maintained. There is mild prominence of the sulci and ventricles, compatible with mild generalized parenchymal volume loss, expected for patients age. There is no hydrocephalus. There are subcortical and periventricular lucencies which are nonspecific, but most compatible with small vessel ischemic disease. Retained secretions are identified within hypoplastic maxillary sinuses, more conspicuous on the left. Mastoid air cells are clear. Calvarium is intact. </s>