Again seen is diffuse nasopharyngeal mucosal thickening and edema, similar to prior, without discrete enhancing mass lesion identified. Additional edema involving the supraglottic larynx and hypopharynx is noted. The left piriform sinus is now more readily visualized, without local mass lesion. Scattered small cervical lymph nodes are unchanged, without lymphadenopathy. The major salivary glands and thyroid gland are unremarkable. There is persistent partial opacification of the bilateral maxillary sinuses and ethmoid air cells. There is complete opacification of the bilateral middle ears and mastoid air cells. The sphenoid portions of skull base are diffusely sclerotic, without focal lesions, unchanged from prior and likely treatment related. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. The cervical spine shows mild degenerative findings, with stable mild retrolisthesis of C4 on C5, unchanged. The visualized lungs show apical scarring and emphysema. The carotid arteries and jugular veins are patent.
imaging observation_fin: ['enhancing']clinical findings_fin: {'diffuse nasopharyngeal mucosal thickening': {'clinical finding': 'diffuse nasopharyngeal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse nasopharyngeal mucosal', 'observation': 'thickening'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete enhancing mass lesion': {'clinical finding': 'discrete enhancing mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete enhancing mass', 'observation': 'lesion'}}anatomical entity_fin: {'larynx': {}, 'hypopharynx': {}}clinical findings_fin: {'additional edema': {'clinical finding': 'additional edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'edema'}}location descriptor_fin: ['left']clinical findings_fin: {'local mass lesion': {'clinical finding': 'local mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'local mass', 'observation': 'lesion'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are unremarkable'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'persistent partial opacification': {'clinical finding': 'persistent partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'opacification', 'strength_term': 'partial', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ears': {'location descriptor': 'bilateral'}, 'mastoid air cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'complete opacification': {'clinical finding': 'complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'opacification'}, 'mastoid': {'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid'}}anatomical entity_fin: {'skull': {}, 'base': {}}procedure_fin: ['treatment']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}, 'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'stable mild retrolisthesis': {'clinical finding': 'stable mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'retrolisthesis', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']clinical findings_fin: {'apical scarring': {'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['enhancing']clinical findings_fin: {'diffuse nasopharyngeal mucosal thickening': {'clinical finding': 'diffuse nasopharyngeal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse nasopharyngeal mucosal', 'observation': 'thickening'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete enhancing mass lesion': {'clinical finding': 'discrete enhancing mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete enhancing mass', 'observation': 'lesion'}}anatomical entity_fin: {'larynx': {}, 'hypopharynx': {}}clinical findings_fin: {'additional edema': {'clinical finding': 'additional edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'edema'}}location descriptor_fin: ['left']clinical findings_fin: {'local mass lesion': {'clinical finding': 'local mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'local mass', 'observation': 'lesion'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are unremarkable'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'persistent partial opacification': {'clinical finding': 'persistent partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'opacification', 'strength_term': 'partial', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ears': {'location descriptor': 'bilateral'}, 'mastoid air cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'complete opacification': {'clinical finding': 'complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'opacification'}, 'mastoid': {'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid'}}anatomical entity_fin: {'skull': {}, 'base': {}}procedure_fin: ['treatment']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}, 'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'stable mild retrolisthesis': {'clinical finding': 'stable mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'retrolisthesis', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']clinical findings_fin: {'apical scarring': {'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}} [/INST] Again seen is diffuse nasopharyngeal mucosal thickening and edema, similar to prior, without discrete enhancing mass lesion identified. Additional edema involving the supraglottic larynx and hypopharynx is noted. The left piriform sinus is now more readily visualized, without local mass lesion. Scattered small cervical lymph nodes are unchanged, without lymphadenopathy. The major salivary glands and thyroid gland are unremarkable. There is persistent partial opacification of the bilateral maxillary sinuses and ethmoid air cells. There is complete opacification of the bilateral middle ears and mastoid air cells. The sphenoid portions of skull base are diffusely sclerotic, without focal lesions, unchanged from prior and likely treatment related. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. The cervical spine shows mild degenerative findings, with stable mild retrolisthesis of C4 on C5, unchanged. The visualized lungs show apical scarring and emphysema. The carotid arteries and jugular veins are patent. </s>