. There is redemonstration of large area of hypoattenuation in the cerebellar hemispheres bilaterally without significant interval changes from previous exam. Again seen are evolving changes of subacute infarct in the left basal ganglia with interval decrease in size as well as less conspicuous right basal ganglia infarcts. There are scattered punctate and confluent areas of low attenuation in the periventricular and subcortical white matter, consistent with subacute small vessel ischemic disease. There is no intracranial hemorrhage. The ventricles and sulci are unchanged from previous without evidence of hydrocephalus. There is no mass effect, herniation or midline shift. There is no extraaxial fluid collection. No acute facial bone fracture is identified. The temporomandibular joints are intact. No orbital fracture is identified. The globes are intact. There is no evidence of intraorbital hematoma or stranding. There is minimal mucosal thickening of the sphenoid sinus. The remaining paranasal sinuses and mastoid air cells are clear. No significant soft tissue swelling is identified. Partially visualized nasogastric tube with minimal inspissated fluid in the nasopharynx. No evidence of fluid collections or abscesses in the nasopharynx.
clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'significant interval changes': {'clinical finding': 'significant interval changes', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'evolving changes': {'clinical finding': 'evolving changes', 'existence': 'pos_dx', 'descriptive_term': 'evolving', 'observation': 'change'}, 'subacute infarct': {'clinical finding': 'subacute infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'subacute', 'observation': 'infarct'}, 'less conspicuous right basal ganglia infarcts': {'clinical finding': 'less conspicuous right basal ganglia infarcts', 'cf_snomed': {'right basal ganglia': 110682001}, 'existence': 'pos_dx', 'descriptive_term': 'less conspicuous right basal ganglia', 'observation': 'infarct', 'quantity_term': 'less'}}clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}, 'subacute small vessel ischemic disease': {'clinical finding': 'subacute small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'subacute small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'acute facial bone fracture': {'clinical finding': 'acute facial bone fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute facial bone', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'temporomandibular joints': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'orbital fracture': {'clinical finding': 'orbital fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'orbital', 'observation': 'fracture'}}anatomical entity_fin: {'globes': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intraorbital hematoma': {'clinical finding': 'intraorbital hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'intraorbital', 'observation': 'hematoma'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'neg_dx', 'observation': 'strand'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'significant soft tissue swelling': {'clinical finding': 'significant soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'significant soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}object_fin: ['nasogastric tube']clinical findings_fin: {'partially visualized nasogastric tube': {'clinical finding': 'partially visualized nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized nasogastric', 'observation': 'tube', 'strength_term': 'partially'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}clinical findings_fin: {'abscesses': {'clinical finding': 'abscesses', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'significant interval changes': {'clinical finding': 'significant interval changes', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'evolving changes': {'clinical finding': 'evolving changes', 'existence': 'pos_dx', 'descriptive_term': 'evolving', 'observation': 'change'}, 'subacute infarct': {'clinical finding': 'subacute infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'subacute', 'observation': 'infarct'}, 'less conspicuous right basal ganglia infarcts': {'clinical finding': 'less conspicuous right basal ganglia infarcts', 'cf_snomed': {'right basal ganglia': 110682001}, 'existence': 'pos_dx', 'descriptive_term': 'less conspicuous right basal ganglia', 'observation': 'infarct', 'quantity_term': 'less'}}clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}, 'subacute small vessel ischemic disease': {'clinical finding': 'subacute small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'subacute small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'acute facial bone fracture': {'clinical finding': 'acute facial bone fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute facial bone', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'temporomandibular joints': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'orbital fracture': {'clinical finding': 'orbital fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'orbital', 'observation': 'fracture'}}anatomical entity_fin: {'globes': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intraorbital hematoma': {'clinical finding': 'intraorbital hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'intraorbital', 'observation': 'hematoma'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'neg_dx', 'observation': 'strand'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'significant soft tissue swelling': {'clinical finding': 'significant soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'significant soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}object_fin: ['nasogastric tube']clinical findings_fin: {'partially visualized nasogastric tube': {'clinical finding': 'partially visualized nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized nasogastric', 'observation': 'tube', 'strength_term': 'partially'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}clinical findings_fin: {'abscesses': {'clinical finding': 'abscesses', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}} [/INST] . There is redemonstration of large area of hypoattenuation in the cerebellar hemispheres bilaterally without significant interval changes from previous exam. Again seen are evolving changes of subacute infarct in the left basal ganglia with interval decrease in size as well as less conspicuous right basal ganglia infarcts. There are scattered punctate and confluent areas of low attenuation in the periventricular and subcortical white matter, consistent with subacute small vessel ischemic disease. There is no intracranial hemorrhage. The ventricles and sulci are unchanged from previous without evidence of hydrocephalus. There is no mass effect, herniation or midline shift. There is no extraaxial fluid collection. No acute facial bone fracture is identified. The temporomandibular joints are intact. No orbital fracture is identified. The globes are intact. There is no evidence of intraorbital hematoma or stranding. There is minimal mucosal thickening of the sphenoid sinus. The remaining paranasal sinuses and mastoid air cells are clear. No significant soft tissue swelling is identified. Partially visualized nasogastric tube with minimal inspissated fluid in the nasopharynx. No evidence of fluid collections or abscesses in the nasopharynx. </s>