There is mild straightening of the normal lumbar lordosis. There is trace anterolisthesis of L2 with respect to L3. Lumbar spine alignment is otherwise within normal limits. Right-sided pedicular screws and a posterior rod affix L3 and L4 without evidence of hardware complication. Right-sided partial hemilaminotomies are present at L3-L4 with a facetectomy at L3. Interbody prosthetic disc material is present at L3-L4. There is mild loss of height of the L5 vertebral body. Vertebral body heights are otherwise preserved. There is moderate loss of disc height at L4-L5 with associated vacuum disc phenomena. Vacuum disc phenomena is also present at L2-L3. Disc spaces are otherwise maintained. Scattered degenerative endplate changes are present most pronounced at L4-L5. Facet arthropathy is present most pronounced in the lower lumbar spine. Scattered anterior osteophytes are present. Foci of gas within the posterior soft tissues reflect recent surgery. Mild dependent atelectasis is noted at the lung bases. Incidental noted is made of nonobstructive punctate left renal caliceal calculi versus vascular calcification. Atherosclerotic calcifications affect the abdominal arteries. No significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. Diffuse disc bulge. Facet arthropathy and ligamentum flavum hypertrophy. Mild central canal stenosis. Streak artifact somewhat limits evaluation at this level. Diffuse disc bulge. There is effacement of the fat planes at this level presumably related to postsurgical changes. There is effacement of the fat planes in the right greater than left lateral recesses. The fat surrounding the right exiting nerve root is also effaced. Diffuse disc bulge. Facet arthropathy and ligamentum flavum thickening. Moderate central stenosis. Partial effacement of the fat surrounding the exiting left nerve root. Mild diffuse disc bulge without significant central canal or foraminal stenosis.
clinical findings_fin: {'normal lumbar lordosis': {'clinical finding': 'normal lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal lumbar', 'observation': 'lordosis', 'strength_term': 'normal'}}clinical findings_fin: {'trace anterolisthesis': {'clinical finding': 'trace anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'anterolisthesis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'lumbar spine alignment is otherwise within normal limits': {'clinical finding': 'lumbar spine alignment is otherwise within normal limits'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'hardware complication': {'clinical finding': 'hardware complication', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided partial hemilaminotomies': {'clinical finding': 'right-sided partial hemilaminotomies', 'existence': 'pos_dx', 'descriptive_term': 'right-sided partial', 'observation': 'hemilaminotomy', 'strength_term': 'partial'}, 'facetectomy': {'clinical finding': 'facetectomy', 'existence': 'pos_dx', 'observation': 'facetectomy'}}clinical findings_fin: {'interbody prosthetic disc material': {'clinical finding': 'interbody prosthetic disc material', 'existence': 'pos_dx', 'descriptive_term': 'interbody prosthetic disc', 'observation': 'material'}}anatomical entity_fin: {'l5 vertebral body': {}}clinical findings_fin: {'is mild loss of height of the l5 vertebral body': {'clinical finding': 'is mild loss of height of the l5 vertebral body'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are otherwise preserved': {'clinical finding': 'vertebral body heights are otherwise preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'associated vacuum disc phenomena': {'clinical finding': 'associated vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'associated vacuum disc', 'observation': 'phenomenon'}}clinical findings_fin: {'vacuum disc phenomena': {'clinical finding': 'vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'scattered degenerative endplate changes': {'clinical finding': 'scattered degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative endplate', 'observation': 'change'}}anatomical entity_fin: {'facet': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'facet arthropathy is present most pronounced': {'clinical finding': 'facet arthropathy is present most pronounced', 'cf_snomed': {'arthropathy': 399269003}}}location descriptor_fin: ['anterior']clinical findings_fin: {'scattered anterior osteophytes': {'clinical finding': 'scattered anterior osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'scattered anterior', 'observation': 'osteophyte'}}imaging observation_fin: ['foci']location descriptor_fin: ['posterior']clinical findings_fin: {'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'mild dependent atelectasis': {'clinical finding': 'mild dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructive punctate left renal caliceal calculi': {'clinical finding': 'nonobstructive punctate left renal caliceal calculi', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive punctate left renal caliceal', 'observation': 'calculi'}, 'vascular calcification': {'clinical finding': 'vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}anatomical entity_fin: {'abdominal': {}, 'arteries': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'facet': {}, 'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum hypertrophy': {'clinical finding': 'ligamentum flavum hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'hypertrophy'}}location descriptor_fin: ['central']clinical findings_fin: {'mild central canal stenosis': {'clinical finding': 'mild central canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild central canal', 'observation': 'stenosis', 'strength_term': 'mild'}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}imaging observation_fin: ['fat']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'lateral recesses': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}anatomical entity_fin: {'nerve root': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'facet': {}, 'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['central']clinical findings_fin: {'moderate central stenosis': {'clinical finding': 'moderate central stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate central', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'nerve root': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'partial effacement': {'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'}}location descriptor_fin: ['central']clinical findings_fin: {'mild diffuse disc bulge': {'clinical finding': 'mild diffuse disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'normal lumbar lordosis': {'clinical finding': 'normal lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal lumbar', 'observation': 'lordosis', 'strength_term': 'normal'}}clinical findings_fin: {'trace anterolisthesis': {'clinical finding': 'trace anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'anterolisthesis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'lumbar spine alignment is otherwise within normal limits': {'clinical finding': 'lumbar spine alignment is otherwise within normal limits'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'hardware complication': {'clinical finding': 'hardware complication', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided partial hemilaminotomies': {'clinical finding': 'right-sided partial hemilaminotomies', 'existence': 'pos_dx', 'descriptive_term': 'right-sided partial', 'observation': 'hemilaminotomy', 'strength_term': 'partial'}, 'facetectomy': {'clinical finding': 'facetectomy', 'existence': 'pos_dx', 'observation': 'facetectomy'}}clinical findings_fin: {'interbody prosthetic disc material': {'clinical finding': 'interbody prosthetic disc material', 'existence': 'pos_dx', 'descriptive_term': 'interbody prosthetic disc', 'observation': 'material'}}anatomical entity_fin: {'l5 vertebral body': {}}clinical findings_fin: {'is mild loss of height of the l5 vertebral body': {'clinical finding': 'is mild loss of height of the l5 vertebral body'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are otherwise preserved': {'clinical finding': 'vertebral body heights are otherwise preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'associated vacuum disc phenomena': {'clinical finding': 'associated vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'associated vacuum disc', 'observation': 'phenomenon'}}clinical findings_fin: {'vacuum disc phenomena': {'clinical finding': 'vacuum disc phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'scattered degenerative endplate changes': {'clinical finding': 'scattered degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative endplate', 'observation': 'change'}}anatomical entity_fin: {'facet': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'facet arthropathy is present most pronounced': {'clinical finding': 'facet arthropathy is present most pronounced', 'cf_snomed': {'arthropathy': 399269003}}}location descriptor_fin: ['anterior']clinical findings_fin: {'scattered anterior osteophytes': {'clinical finding': 'scattered anterior osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'scattered anterior', 'observation': 'osteophyte'}}imaging observation_fin: ['foci']location descriptor_fin: ['posterior']clinical findings_fin: {'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'mild dependent atelectasis': {'clinical finding': 'mild dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructive punctate left renal caliceal calculi': {'clinical finding': 'nonobstructive punctate left renal caliceal calculi', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive punctate left renal caliceal', 'observation': 'calculi'}, 'vascular calcification': {'clinical finding': 'vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}anatomical entity_fin: {'abdominal': {}, 'arteries': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'facet': {}, 'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum hypertrophy': {'clinical finding': 'ligamentum flavum hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'hypertrophy'}}location descriptor_fin: ['central']clinical findings_fin: {'mild central canal stenosis': {'clinical finding': 'mild central canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild central canal', 'observation': 'stenosis', 'strength_term': 'mild'}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}imaging observation_fin: ['fat']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'lateral recesses': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}anatomical entity_fin: {'nerve root': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'facet': {}, 'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['central']clinical findings_fin: {'moderate central stenosis': {'clinical finding': 'moderate central stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate central', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'nerve root': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'partial effacement': {'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'}}location descriptor_fin: ['central']clinical findings_fin: {'mild diffuse disc bulge': {'clinical finding': 'mild diffuse disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}} [/INST] There is mild straightening of the normal lumbar lordosis. There is trace anterolisthesis of L2 with respect to L3. Lumbar spine alignment is otherwise within normal limits. Right-sided pedicular screws and a posterior rod affix L3 and L4 without evidence of hardware complication. Right-sided partial hemilaminotomies are present at L3-L4 with a facetectomy at L3. Interbody prosthetic disc material is present at L3-L4. There is mild loss of height of the L5 vertebral body. Vertebral body heights are otherwise preserved. There is moderate loss of disc height at L4-L5 with associated vacuum disc phenomena. Vacuum disc phenomena is also present at L2-L3. Disc spaces are otherwise maintained. Scattered degenerative endplate changes are present most pronounced at L4-L5. Facet arthropathy is present most pronounced in the lower lumbar spine. Scattered anterior osteophytes are present. Foci of gas within the posterior soft tissues reflect recent surgery. Mild dependent atelectasis is noted at the lung bases. Incidental noted is made of nonobstructive punctate left renal caliceal calculi versus vascular calcification. Atherosclerotic calcifications affect the abdominal arteries. No significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. Diffuse disc bulge. Facet arthropathy and ligamentum flavum hypertrophy. Mild central canal stenosis. Streak artifact somewhat limits evaluation at this level. Diffuse disc bulge. There is effacement of the fat planes at this level presumably related to postsurgical changes. There is effacement of the fat planes in the right greater than left lateral recesses. The fat surrounding the right exiting nerve root is also effaced. Diffuse disc bulge. Facet arthropathy and ligamentum flavum thickening. Moderate central stenosis. Partial effacement of the fat surrounding the exiting left nerve root. Mild diffuse disc bulge without significant central canal or foraminal stenosis. </s>