There is a right frontal approach ventriculoperitoneal shunt catheter with the tip terminating in the right paramedian mid body of the right lateral ventricle. There is persistent diffuse enlargement of the lateral and third ventricles, compared roughly similar in size to the prior examination, although precise measurements are limited by changes in patient positioning. There is no evidence of transependymal cerebrospinal fluid. There is no midline shift or mass effect. There is no intracranial hemorrhage or areas of abnormal attenuation. There are secretions within the sphenoid sinuses.
anatomical entity_fin: {'body': {}, 'right lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: {'right frontal approach ventriculoperitoneal': {'clinical finding': 'right frontal approach ventriculoperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach', 'observation': 'ventriculoperitoneal'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent diffuse enlargement': {'clinical finding': 'persistent diffuse enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'enlargement', 'temporal_term': 'persistent'}, 'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'body': {}, 'right lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: {'right frontal approach ventriculoperitoneal': {'clinical finding': 'right frontal approach ventriculoperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach', 'observation': 'ventriculoperitoneal'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent diffuse enlargement': {'clinical finding': 'persistent diffuse enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse', 'observation': 'enlargement', 'temporal_term': 'persistent'}, 'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}} [/INST] There is a right frontal approach ventriculoperitoneal shunt catheter with the tip terminating in the right paramedian mid body of the right lateral ventricle. There is persistent diffuse enlargement of the lateral and third ventricles, compared roughly similar in size to the prior examination, although precise measurements are limited by changes in patient positioning. There is no evidence of transependymal cerebrospinal fluid. There is no midline shift or mass effect. There is no intracranial hemorrhage or areas of abnormal attenuation. There are secretions within the sphenoid sinuses. </s>