There is no intracranial hemorrhage. Gray-white matter differentiation is preserved. There is no mass effect or midline shift. The ventricular system and the other CSF-containing spaces are normal in size. There is no skull fracture. Mastoid air cells and paranasal sinuses are clear. There is complete pneumatization of the middle turbinates. The ostiomeatal complexes remain open. There is a large right orbital medial blowout fracture with no associated soft tissue swelling, that is old.
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: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'ventricular system and the other csf-containing spaces are normal in size': {'clinical finding': 'ventricular system and the other csf-containing spaces are normal in size'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'middle': {}}location descriptor_fin: ['right', 'medial']clinical findings_fin: {'large right orbital medial blowout fracture': {'clinical finding': 'large right orbital medial blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'large right orbital medial blowout', 'observation': 'fracture', 'strength_term': 'large'}, 'associated soft tissue swelling': {'clinical finding': 'associated soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'associated soft tissue', 'observation': 'swell'}}
<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'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'ventricular system and the other csf-containing spaces are normal in size': {'clinical finding': 'ventricular system and the other csf-containing spaces are normal in size'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'middle': {}}location descriptor_fin: ['right', 'medial']clinical findings_fin: {'large right orbital medial blowout fracture': {'clinical finding': 'large right orbital medial blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'large right orbital medial blowout', 'observation': 'fracture', 'strength_term': 'large'}, 'associated soft tissue swelling': {'clinical finding': 'associated soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'associated soft tissue', 'observation': 'swell'}} [/INST] There is no intracranial hemorrhage. Gray-white matter differentiation is preserved. There is no mass effect or midline shift. The ventricular system and the other CSF-containing spaces are normal in size. There is no skull fracture. Mastoid air cells and paranasal sinuses are clear. There is complete pneumatization of the middle turbinates. The ostiomeatal complexes remain open. There is a large right orbital medial blowout fracture with no associated soft tissue swelling, that is old. </s>