There has been interval revision of the left frontal approach ventriculostomy catheter, with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of Monro. There is small amount of air in the left frontal horn, likely postprocedural. The old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn. There is persistent mild hyperdensity surrounding the catheter tip. The lateral and third ventricles remains unchanged compared to previous exam, the third ventricle measuring 12 mm in transverse dimension, previously 12 mm. There is dependent blood layering above the vermis, which may be within and extension of the third ventricle or some other cystic space, unchanged from previous. There is redemonstration of extensive white matter hypoattenuation in the periventricular region, similar to previous exam. There bilateral partially calcified subdural hematomas, right greater than the left, unchanged from previous. There is stable localized mass effect and midline shift of approximately 8 mm. There is right frontoparietal scalp thickening along with multiple foci of air which is related to the recent procedure.
anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['left']object_fin: ['catheter', 'shunt catheter', 'valve']procedure_fin: ['ventriculostomy']clinical findings_fin: {'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro': {'clinical finding': 'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro'}}location descriptor_fin: ['left']clinical findings_fin: {'is small amount of air in the left frontal horn , likely postprocedural': {'clinical finding': 'is small amount of air in the left frontal horn , likely postprocedural'}}location descriptor_fin: ['right', 'left']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn': {'clinical finding': 'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn', 'change_term': 'unchanged'}}object_fin: ['catheter']clinical findings_fin: {'persistent mild hyperdensity': {'clinical finding': 'persistent mild hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'hyperdensity', 'strength_term': 'mild', 'temporal_term': 'persistent'}}size_fin: [{'size': '12 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'third ventricles': {}, 'third ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'third ventricle': {}}imaging observation_fin: ['blood']clinical findings_fin: {'blood layering': {'clinical finding': 'blood layering', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'layering'}, 'some other cystic': {'clinical finding': 'some other cystic', 'existence': 'unc_dx', 'descriptive_term': 'some other', 'observation': 'cystic', 'quantity_term': 'some'}}clinical findings_fin: {'extensive white matter hypoattenuation': {'clinical finding': 'extensive white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'there bilateral partially calcified subdural hematomas': {'clinical finding': 'there bilateral partially calcified subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'there bilateral partially calcified subdural', 'observation': 'hematoma', 'strength_term': 'partially', 'change_term': 'calcified'}}size_fin: [{'size': '8 mm'}]location descriptor_fin: ['midline']clinical findings_fin: {'stable localized mass effect': {'clinical finding': 'stable localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'stable localized mass', 'observation': 'effect', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'right frontoparietal scalp thickening': {'clinical finding': 'right frontoparietal scalp thickening', 'existence': 'pos_dx', 'descriptive_term': 'right frontoparietal scalp', 'observation': 'thickening'}, 'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'recent procedure': {'clinical finding': 'recent procedure', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'procedure'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['left']object_fin: ['catheter', 'shunt catheter', 'valve']procedure_fin: ['ventriculostomy']clinical findings_fin: {'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro': {'clinical finding': 'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro'}}location descriptor_fin: ['left']clinical findings_fin: {'is small amount of air in the left frontal horn , likely postprocedural': {'clinical finding': 'is small amount of air in the left frontal horn , likely postprocedural'}}location descriptor_fin: ['right', 'left']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn': {'clinical finding': 'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn', 'change_term': 'unchanged'}}object_fin: ['catheter']clinical findings_fin: {'persistent mild hyperdensity': {'clinical finding': 'persistent mild hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'hyperdensity', 'strength_term': 'mild', 'temporal_term': 'persistent'}}size_fin: [{'size': '12 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'third ventricles': {}, 'third ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'third ventricle': {}}imaging observation_fin: ['blood']clinical findings_fin: {'blood layering': {'clinical finding': 'blood layering', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'layering'}, 'some other cystic': {'clinical finding': 'some other cystic', 'existence': 'unc_dx', 'descriptive_term': 'some other', 'observation': 'cystic', 'quantity_term': 'some'}}clinical findings_fin: {'extensive white matter hypoattenuation': {'clinical finding': 'extensive white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'there bilateral partially calcified subdural hematomas': {'clinical finding': 'there bilateral partially calcified subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'there bilateral partially calcified subdural', 'observation': 'hematoma', 'strength_term': 'partially', 'change_term': 'calcified'}}size_fin: [{'size': '8 mm'}]location descriptor_fin: ['midline']clinical findings_fin: {'stable localized mass effect': {'clinical finding': 'stable localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'stable localized mass', 'observation': 'effect', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'right frontoparietal scalp thickening': {'clinical finding': 'right frontoparietal scalp thickening', 'existence': 'pos_dx', 'descriptive_term': 'right frontoparietal scalp', 'observation': 'thickening'}, 'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'recent procedure': {'clinical finding': 'recent procedure', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'procedure'}} [/INST] There has been interval revision of the left frontal approach ventriculostomy catheter, with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of Monro. There is small amount of air in the left frontal horn, likely postprocedural. The old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn. There is persistent mild hyperdensity surrounding the catheter tip. The lateral and third ventricles remains unchanged compared to previous exam, the third ventricle measuring 12 mm in transverse dimension, previously 12 mm. There is dependent blood layering above the vermis, which may be within and extension of the third ventricle or some other cystic space, unchanged from previous. There is redemonstration of extensive white matter hypoattenuation in the periventricular region, similar to previous exam. There bilateral partially calcified subdural hematomas, right greater than the left, unchanged from previous. There is stable localized mass effect and midline shift of approximately 8 mm. There is right frontoparietal scalp thickening along with multiple foci of air which is related to the recent procedure. </s>