There is no intracranial hemorrhage. There is an 8 x 8 mm rounded, midline structure isodense to brain parenchyma in the suprasellar region which on axial images may be contiguous with the anterior cerebral artery or ACOM region. Now retrospectively, this lesion is unchanged in size from previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The previously described old left orbital floor and lamina papyracea blowout fracture is redemonstrated. There is associated enophthalmos of the left globe. The left maxillary sinus is smaller than the right with associated mucosal thickening similar to previous exam. There is heterogeneous, patchy areas of lucency and sclerosis of the posterior right maxilla alveolar process without an associated tooth. This may represent an odontogenic process without concern for acute pathology. The remaining maxillofacial sinuses and mastoid cells are clear. There is an unchanged large lipoma overlying the right occipital scalp. Incidentally noted torus palatinus.
clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'isodense'}]anatomical entity_fin: {'brain': {}, 'parenchyma': {}, 'anterior cerebral artery': {}}location descriptor_fin: ['midline']clinical findings_fin: {'isodense': {'clinical finding': 'isodense', 'existence': 'pos_dx', 'observation': 'isodense'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously described old left orbital floor and lamina papyracea blowout fracture': {'clinical finding': 'previously described old left orbital floor and lamina papyracea blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described old left orbital floor and lamina papyracea blowout', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'associated enophthalmos': {'clinical finding': 'associated enophthalmos', 'cf_snomed': {'enophthalmos': 80093006}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'enophthalmos'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'associated mucosal thickening': {'clinical finding': 'associated mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'maxilla': {'location descriptor': 'posterior right'}}imaging observation_fin: ['tooth']location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'lucency': {'clinical finding': 'lucency', 'existence': 'pos_dx', 'observation': 'lucency'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'associated tooth': {'clinical finding': 'associated tooth', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'tooth'}}clinical findings_fin: {'odontogenic': {'clinical finding': 'odontogenic', 'existence': 'unc_dx', 'observation': 'odontogenic'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged large lipoma': {'clinical finding': 'unchanged large lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged large', 'observation': 'lipoma', 'strength_term': 'unchanged - large', 'change_term': 'unchanged'}}clinical findings_fin: {'incidentally noted torus palatinus': {'clinical finding': 'incidentally noted torus palatinus', 'cf_snomed': {'torus': 70033004}}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'isodense'}]anatomical entity_fin: {'brain': {}, 'parenchyma': {}, 'anterior cerebral artery': {}}location descriptor_fin: ['midline']clinical findings_fin: {'isodense': {'clinical finding': 'isodense', 'existence': 'pos_dx', 'observation': 'isodense'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously described old left orbital floor and lamina papyracea blowout fracture': {'clinical finding': 'previously described old left orbital floor and lamina papyracea blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described old left orbital floor and lamina papyracea blowout', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'associated enophthalmos': {'clinical finding': 'associated enophthalmos', 'cf_snomed': {'enophthalmos': 80093006}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'enophthalmos'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'associated mucosal thickening': {'clinical finding': 'associated mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'maxilla': {'location descriptor': 'posterior right'}}imaging observation_fin: ['tooth']location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'lucency': {'clinical finding': 'lucency', 'existence': 'pos_dx', 'observation': 'lucency'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'associated tooth': {'clinical finding': 'associated tooth', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'tooth'}}clinical findings_fin: {'odontogenic': {'clinical finding': 'odontogenic', 'existence': 'unc_dx', 'observation': 'odontogenic'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged large lipoma': {'clinical finding': 'unchanged large lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged large', 'observation': 'lipoma', 'strength_term': 'unchanged - large', 'change_term': 'unchanged'}}clinical findings_fin: {'incidentally noted torus palatinus': {'clinical finding': 'incidentally noted torus palatinus', 'cf_snomed': {'torus': 70033004}}} [/INST] There is no intracranial hemorrhage. There is an 8 x 8 mm rounded, midline structure isodense to brain parenchyma in the suprasellar region which on axial images may be contiguous with the anterior cerebral artery or ACOM region. Now retrospectively, this lesion is unchanged in size from previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The previously described old left orbital floor and lamina papyracea blowout fracture is redemonstrated. There is associated enophthalmos of the left globe. The left maxillary sinus is smaller than the right with associated mucosal thickening similar to previous exam. There is heterogeneous, patchy areas of lucency and sclerosis of the posterior right maxilla alveolar process without an associated tooth. This may represent an odontogenic process without concern for acute pathology. The remaining maxillofacial sinuses and mastoid cells are clear. There is an unchanged large lipoma overlying the right occipital scalp. Incidentally noted torus palatinus. </s>