The study is at least moderately limited by patient motion. There is no evidence of new, gross intracranial hemorrhage or mass. Focal encephalomalacia is present in the posteromedial aspect of the right parietal lobe and the anterior left temporal lobe underlying craniotomies and is unchanged. The grey-white matter differentiation appears to be intact, otherwise. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is unchanged focal hyperattenuation within the left vitreous body and there is a left lens implant. However, there is new periorbital and retrobulbar fat stranding. There is a focus of fat within the right cavernous sinus has not changed. There is no new scalp abnormality. There is mild ethmoidal and maxillary mucosal thickening.
clinical findings_fin: {'new, gross intracranial hemorrhage': {'clinical finding': 'new, gross intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new gross intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right parietal lobe': {}, 'left temporal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'focal encephalomalacia': {'clinical finding': 'focal encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'encephalomalacia'}, 'underlying craniotomies': {'clinical finding': 'underlying craniotomies', 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'craniotomy'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'vitreous body': {'location descriptor': 'left'}, 'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['implant']clinical findings_fin: {'unchanged focal hyperattenuation': {'clinical finding': 'unchanged focal hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged focal', 'observation': 'hyperattenuation', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'retrobulbar fat': {}}clinical findings_fin: {'retrobulbar fat stranding': {'clinical finding': 'retrobulbar fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'retrobulbar fat', 'observation': 'strand'}}anatomical entity_fin: {'cavernous sinus': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'fat': {'clinical finding': 'fat', 'existence': 'pos_dx', 'observation': 'fat'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'new scalp abnormality': {'clinical finding': 'new scalp abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new scalp', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'mild ethmoidal and maxillary mucosal thickening': {'clinical finding': 'mild ethmoidal and maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild ethmoidal and maxillary mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'new, gross intracranial hemorrhage': {'clinical finding': 'new, gross intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new gross intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right parietal lobe': {}, 'left temporal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'focal encephalomalacia': {'clinical finding': 'focal encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'encephalomalacia'}, 'underlying craniotomies': {'clinical finding': 'underlying craniotomies', 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'craniotomy'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'vitreous body': {'location descriptor': 'left'}, 'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['implant']clinical findings_fin: {'unchanged focal hyperattenuation': {'clinical finding': 'unchanged focal hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged focal', 'observation': 'hyperattenuation', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'retrobulbar fat': {}}clinical findings_fin: {'retrobulbar fat stranding': {'clinical finding': 'retrobulbar fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'retrobulbar fat', 'observation': 'strand'}}anatomical entity_fin: {'cavernous sinus': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'fat': {'clinical finding': 'fat', 'existence': 'pos_dx', 'observation': 'fat'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'new scalp abnormality': {'clinical finding': 'new scalp abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new scalp', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'mild ethmoidal and maxillary mucosal thickening': {'clinical finding': 'mild ethmoidal and maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild ethmoidal and maxillary mucosal', 'observation': 'thickening', 'strength_term': 'mild'}} [/INST] The study is at least moderately limited by patient motion. There is no evidence of new, gross intracranial hemorrhage or mass. Focal encephalomalacia is present in the posteromedial aspect of the right parietal lobe and the anterior left temporal lobe underlying craniotomies and is unchanged. The grey-white matter differentiation appears to be intact, otherwise. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is unchanged focal hyperattenuation within the left vitreous body and there is a left lens implant. However, there is new periorbital and retrobulbar fat stranding. There is a focus of fat within the right cavernous sinus has not changed. There is no new scalp abnormality. There is mild ethmoidal and maxillary mucosal thickening. </s>