Neck. There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries. The left internal carotid artery is smaller than the right internal carotid artery. The internal carotid arteries are very tortuous. There are multilevel degenerative changes present in the cervical spine with endplate and uncovertebral osteophytes at C3-4, C4-5, C5-6 associated with narrowing of the spinal canal and encroachment of the neural foramina with the encroachment of exiting nerve roots especially at C5-6 and C6-7 and findings suspicious for spinal stenosis especially at C5-6There is a 15 mm nodule present within the left lobe of the thyroid. It is hypodense relative to the adjacent tissues. There is an additional 3 mm nodule along the superior aspect of the left thyroid gland lobe. Brain. There is a filling defect present within the distal left internal carotid artery extending into the proximal left middle cerebral artery which spares the anterior choroidal artery. This filling defect measures approximately 4 mm in length and 2 or 3 mm in thickness. On the prior MRI exam it appeared to the larger extending 7 mm into the middle cerebral artery and 6 mm in the internal carotid artery at that time. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The anterior communicating artery and the posterior communicating arteries are identified and are intact. The right A1 segment is larger than the left A1 segment. The anterior communicating artery is medium-sized. The posterior communicating arteries are very small. There is fenestration of the anterior communicating artery present. Hypodense foci are present along the left centrum semiovale and in the subcortical white matter at the left precentral gyrus and the left middle frontal gyrus as well as left inferior parietal lobule at the intraparietal sulcus. The visualized portions of the paranasal sinuses demonstrate thickening of the walls of the left maxillary sinus associated with opacification of the left maxillary sinus. There is opacification of the sphenoid sinuses. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
anatomical entity_fin: {'aortic arch': {}, 'arteries': {}, 'vertebral arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'observation': 'stenosis'}}clinical findings_fin: {'nascet': {'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}size_fin: [{'size': '15 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'cervical spine': {}, 'endplate': {}, 'spinal canal': {}, 'neural foramina': {}, 'nerve roots': {}, 'spinal': {}, 'lobe': {'location descriptor': 'left'}, 'thyroid': {}}location descriptor_fin: ['left']clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}, 'mm nodule': {'clinical finding': 'mm nodule', 'cf_snomed': {'nodule': 27925004}, 'descriptive_term': 'mm', 'observation': 'nodule'}, 'thyroid': {'clinical finding': 'thyroid', 'observation': 'thyroid'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'hypodense': {'clinical finding': 'hypodense', 'existence': 'pos_dx', 'observation': 'hypodense'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'thyroid gland': {'location descriptor': 'left'}, 'lobe': {}}location descriptor_fin: ['superior', 'left']clinical findings_fin: {'additional 3 mm nodule': {'clinical finding': 'additional 3 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional 3 mm', 'observation': 'nodule'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'distal left'}, 'left middle cerebral artery': {}, 'anterior choroidal artery': {}}location descriptor_fin: ['distal', 'left', 'proximal']clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}size_fin: [{'size': '4 mm'}, {'size': '3 mm'}]clinical findings_fin: {'this filling defect': {'clinical finding': 'this filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'this filling', 'observation': 'defect'}}size_fin: [{'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'middle cerebral artery': {}, 'internal carotid artery': {}}clinical findings_fin: {'prior mri exam it appeared to the larger': {'clinical finding': 'prior mri exam it appeared to the larger'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'aneurysms': {'clinical finding': 'aneurysms', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'intracranial stenosis': {'clinical finding': 'intracranial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior communicating artery': {}, 'posterior communicating arteries': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}}anatomical entity_fin: {'anterior communicating artery': {}}anatomical entity_fin: {'posterior communicating arteries': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'anterior communicating artery': {}}clinical findings_fin: {'fenestration': {'clinical finding': 'fenestration', 'cf_snomed': {'fenestration': 16255008}, 'existence': 'pos_dx', 'observation': 'fenestration'}}anatomical entity_fin: {'left precentral gyrus': {}, 'left middle frontal gyrus': {}, 'left inferior parietal lobule': {}, 'intraparietal sulcus': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'hypodense foci': {'clinical finding': 'hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'foci'}}anatomical entity_fin: {'paranasal sinuses': {}, 'walls': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}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: anatomical entity_fin: {'aortic arch': {}, 'arteries': {}, 'vertebral arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'observation': 'stenosis'}}clinical findings_fin: {'nascet': {'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}size_fin: [{'size': '15 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'cervical spine': {}, 'endplate': {}, 'spinal canal': {}, 'neural foramina': {}, 'nerve roots': {}, 'spinal': {}, 'lobe': {'location descriptor': 'left'}, 'thyroid': {}}location descriptor_fin: ['left']clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}, 'mm nodule': {'clinical finding': 'mm nodule', 'cf_snomed': {'nodule': 27925004}, 'descriptive_term': 'mm', 'observation': 'nodule'}, 'thyroid': {'clinical finding': 'thyroid', 'observation': 'thyroid'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'hypodense': {'clinical finding': 'hypodense', 'existence': 'pos_dx', 'observation': 'hypodense'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'thyroid gland': {'location descriptor': 'left'}, 'lobe': {}}location descriptor_fin: ['superior', 'left']clinical findings_fin: {'additional 3 mm nodule': {'clinical finding': 'additional 3 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional 3 mm', 'observation': 'nodule'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'distal left'}, 'left middle cerebral artery': {}, 'anterior choroidal artery': {}}location descriptor_fin: ['distal', 'left', 'proximal']clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}size_fin: [{'size': '4 mm'}, {'size': '3 mm'}]clinical findings_fin: {'this filling defect': {'clinical finding': 'this filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'this filling', 'observation': 'defect'}}size_fin: [{'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'middle cerebral artery': {}, 'internal carotid artery': {}}clinical findings_fin: {'prior mri exam it appeared to the larger': {'clinical finding': 'prior mri exam it appeared to the larger'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'aneurysms': {'clinical finding': 'aneurysms', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'intracranial stenosis': {'clinical finding': 'intracranial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior communicating artery': {}, 'posterior communicating arteries': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}}anatomical entity_fin: {'anterior communicating artery': {}}anatomical entity_fin: {'posterior communicating arteries': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'anterior communicating artery': {}}clinical findings_fin: {'fenestration': {'clinical finding': 'fenestration', 'cf_snomed': {'fenestration': 16255008}, 'existence': 'pos_dx', 'observation': 'fenestration'}}anatomical entity_fin: {'left precentral gyrus': {}, 'left middle frontal gyrus': {}, 'left inferior parietal lobule': {}, 'intraparietal sulcus': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'hypodense foci': {'clinical finding': 'hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'foci'}}anatomical entity_fin: {'paranasal sinuses': {}, 'walls': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] Neck. There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries. The left internal carotid artery is smaller than the right internal carotid artery. The internal carotid arteries are very tortuous. There are multilevel degenerative changes present in the cervical spine with endplate and uncovertebral osteophytes at C3-4, C4-5, C5-6 associated with narrowing of the spinal canal and encroachment of the neural foramina with the encroachment of exiting nerve roots especially at C5-6 and C6-7 and findings suspicious for spinal stenosis especially at C5-6There is a 15 mm nodule present within the left lobe of the thyroid. It is hypodense relative to the adjacent tissues. There is an additional 3 mm nodule along the superior aspect of the left thyroid gland lobe. Brain. There is a filling defect present within the distal left internal carotid artery extending into the proximal left middle cerebral artery which spares the anterior choroidal artery. This filling defect measures approximately 4 mm in length and 2 or 3 mm in thickness. On the prior MRI exam it appeared to the larger extending 7 mm into the middle cerebral artery and 6 mm in the internal carotid artery at that time. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The anterior communicating artery and the posterior communicating arteries are identified and are intact. The right A1 segment is larger than the left A1 segment. The anterior communicating artery is medium-sized. The posterior communicating arteries are very small. There is fenestration of the anterior communicating artery present. Hypodense foci are present along the left centrum semiovale and in the subcortical white matter at the left precentral gyrus and the left middle frontal gyrus as well as left inferior parietal lobule at the intraparietal sulcus. The visualized portions of the paranasal sinuses demonstrate thickening of the walls of the left maxillary sinus associated with opacification of the left maxillary sinus. There is opacification of the sphenoid sinuses. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s>