.The patient is status post left radical neck dissection and myocutaneous flap placement. No significant change in the infiltration of the fat planes along the left neck. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the visceral space the thyroid gland appears intact. The airway appears patent. The parotid and the submandibular glands appear intact. The visualized lung apices demonstrate a stable large right-sided pleural effusion. Stable nodule in the left lung apex posteriorly and medially adjacent to the T5 vertebral body which currently measures 20 x 21 mm , previously this lesion measured 22 x 20 mm in axial dimensions. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for central canal stenosis. The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No acute intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses demonstrate minor opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
anatomical entity_fin: {'neck': {}}location descriptor_fin: ['left']clinical findings_fin: {'status post left radical neck dissection': {'clinical finding': 'status post left radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'status post left radical neck', 'observation': 'dissection'}, 'myocutaneous flap': {'clinical finding': 'myocutaneous flap', 'existence': 'pos_dx', 'descriptive_term': 'myocutaneous', 'observation': 'flap'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'suprahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'infrahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'visceral space': {}, 'thyroid gland': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lung': {}, 'apices': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable large right-sided pleural effusion': {'clinical finding': 'stable large right-sided pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable large right-sided pleural', 'observation': 'effusion', 'strength_term': 'stable - large', 'change_term': 'stable'}}size_fin: [{'size': '20 x 21 mm'}, {'size': '22 x 20 mm'}]anatomical entity_fin: {'left lung': {}, 'apex': {}, 't5 vertebral body': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'stable nodule': {'clinical finding': 'stable nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cervical vertebral bodies': {}}location descriptor_fin: ['central']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'central canal stenosis': {'clinical finding': 'central canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'central canal', 'observation': 'stenosis'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'abnormal enhancing mass lesions': {'clinical finding': 'abnormal enhancing mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal enhancing mass', 'observation': 'lesion'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'minor opacities': {'clinical finding': 'minor opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}location descriptor_fin: ['left']clinical findings_fin: {'status post left radical neck dissection': {'clinical finding': 'status post left radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'status post left radical neck', 'observation': 'dissection'}, 'myocutaneous flap': {'clinical finding': 'myocutaneous flap', 'existence': 'pos_dx', 'descriptive_term': 'myocutaneous', 'observation': 'flap'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'suprahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'infrahyoid neck': {}}clinical findings_fin: {'lymphadenopathy_1': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'lymphadenopathy_2': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'visceral space': {}, 'thyroid gland': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'lung': {}, 'apices': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable large right-sided pleural effusion': {'clinical finding': 'stable large right-sided pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable large right-sided pleural', 'observation': 'effusion', 'strength_term': 'stable - large', 'change_term': 'stable'}}size_fin: [{'size': '20 x 21 mm'}, {'size': '22 x 20 mm'}]anatomical entity_fin: {'left lung': {}, 'apex': {}, 't5 vertebral body': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'stable nodule': {'clinical finding': 'stable nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cervical vertebral bodies': {}}location descriptor_fin: ['central']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'central canal stenosis': {'clinical finding': 'central canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'central canal', 'observation': 'stenosis'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'abnormal enhancing mass lesions': {'clinical finding': 'abnormal enhancing mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal enhancing mass', 'observation': 'lesion'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'minor opacities': {'clinical finding': 'minor opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] .The patient is status post left radical neck dissection and myocutaneous flap placement. No significant change in the infiltration of the fat planes along the left neck. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the visceral space the thyroid gland appears intact. The airway appears patent. The parotid and the submandibular glands appear intact. The visualized lung apices demonstrate a stable large right-sided pleural effusion. Stable nodule in the left lung apex posteriorly and medially adjacent to the T5 vertebral body which currently measures 20 x 21 mm , previously this lesion measured 22 x 20 mm in axial dimensions. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for central canal stenosis. The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No acute intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses demonstrate minor opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s>