Again seen is heterogeneous mildly enhancing involving the supraglottic larynx primarily on the left with extension to the right of the midline. The mass measures approximately 2.8 x 2.1 x 2.7 cm in the AP, transverse, and craniocaudal dimensions. Mass abuts the inferior aspect of the epiglottis and extends inferiorly to the level of the laryngeal ventricles. The true cord does not appear to be involved. Left paraglottic fat is involved. The preepiglottic fat is preserved. Laryngeal cartilages are intact. There is severe narrowing of the airway at the level of the supraglottic larynx, which appears slightly worse than on prior. Tracheostomy tube is in place. No other mass involving the oral cavity, nasopharynx, oropharynx, or hypopharynx is appreciated. The parotid and the submandibular glands are normal. No significant cervical lymphadenopathy. There is a 15 x 11 mm nodule involving the left parotid gland. The left lower internal jugular vein is occluded. There is polypoid opacification involving the right inferior aspect of the maxillary sinus with hyperdense material which may be related to inspissated secretions. There is osseous remodeling. Finding is nonspecific but most likely related to chronic inflammatory process. There is minimal mucosal thickening of the left maxillary sinus. Atherosclerotic calcifications of the common and internal carotid arteries are seen with moderate stenosis involving the left ICA origin. Right chest wall port is in place. Bones are osteopenic with degenerative changes of the cervical spine. No suspicious osseous lesions. Left apical lung nodule. Small mediastinal lymph nodes. Please refer to report for findings in the chest.
anatomical entity_fin: {'larynx': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['left', 'right', 'midline']clinical findings_fin: {'again seen': {'clinical finding': 'again seen'}}size_fin: [{'size': '2.8 x 2.1 x 2.7 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'epiglottis': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}imaging observation_fin: ['cord']anatomical entity_fin: {'paraglottic fat': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraglottic fat': {'clinical finding': 'left paraglottic fat', 'existence': 'pos_dx', 'descriptive_term': 'left paraglottic', 'observation': 'fat'}}imaging observation_fin: ['fat']clinical findings_fin: {'preepiglottic fat is preserved': {'clinical finding': 'preepiglottic fat is preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'laryngeal cartilages': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}, 'larynx': {}}clinical findings_fin: {'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'oral cavity': {}, 'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'other mass': {'clinical finding': 'other mass', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are normal': {'clinical finding': 'parotid and the submandibular glands are normal'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '15 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'15 x 11 mm nodule': {'clinical finding': '15 x 11 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '15 x 11 mm', 'observation': 'nodule'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'maxillary sinus': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'polypoid opacification': {'clinical finding': 'polypoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'polypoid', 'observation': 'opacification'}, 'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}clinical findings_fin: {'osseous remodeling': {'clinical finding': 'osseous remodeling', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'remodeling'}}clinical findings_fin: {'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'internal carotid arteries': {}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical lung nodule': {'clinical finding': 'left apical lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical lung', 'observation': 'nodule'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'larynx': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['left', 'right', 'midline']clinical findings_fin: {'again seen': {'clinical finding': 'again seen'}}size_fin: [{'size': '2.8 x 2.1 x 2.7 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'epiglottis': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}imaging observation_fin: ['cord']anatomical entity_fin: {'paraglottic fat': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraglottic fat': {'clinical finding': 'left paraglottic fat', 'existence': 'pos_dx', 'descriptive_term': 'left paraglottic', 'observation': 'fat'}}imaging observation_fin: ['fat']clinical findings_fin: {'preepiglottic fat is preserved': {'clinical finding': 'preepiglottic fat is preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'laryngeal cartilages': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'airway': {}, 'larynx': {}}clinical findings_fin: {'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'oral cavity': {}, 'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'other mass': {'clinical finding': 'other mass', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are normal': {'clinical finding': 'parotid and the submandibular glands are normal'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '15 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'15 x 11 mm nodule': {'clinical finding': '15 x 11 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '15 x 11 mm', 'observation': 'nodule'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'maxillary sinus': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'polypoid opacification': {'clinical finding': 'polypoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'polypoid', 'observation': 'opacification'}, 'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}clinical findings_fin: {'osseous remodeling': {'clinical finding': 'osseous remodeling', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'remodeling'}}clinical findings_fin: {'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'internal carotid arteries': {}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}, 'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical lung nodule': {'clinical finding': 'left apical lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical lung', 'observation': 'nodule'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}} [/INST] Again seen is heterogeneous mildly enhancing involving the supraglottic larynx primarily on the left with extension to the right of the midline. The mass measures approximately 2.8 x 2.1 x 2.7 cm in the AP, transverse, and craniocaudal dimensions. Mass abuts the inferior aspect of the epiglottis and extends inferiorly to the level of the laryngeal ventricles. The true cord does not appear to be involved. Left paraglottic fat is involved. The preepiglottic fat is preserved. Laryngeal cartilages are intact. There is severe narrowing of the airway at the level of the supraglottic larynx, which appears slightly worse than on prior. Tracheostomy tube is in place. No other mass involving the oral cavity, nasopharynx, oropharynx, or hypopharynx is appreciated. The parotid and the submandibular glands are normal. No significant cervical lymphadenopathy. There is a 15 x 11 mm nodule involving the left parotid gland. The left lower internal jugular vein is occluded. There is polypoid opacification involving the right inferior aspect of the maxillary sinus with hyperdense material which may be related to inspissated secretions. There is osseous remodeling. Finding is nonspecific but most likely related to chronic inflammatory process. There is minimal mucosal thickening of the left maxillary sinus. Atherosclerotic calcifications of the common and internal carotid arteries are seen with moderate stenosis involving the left ICA origin. Right chest wall port is in place. Bones are osteopenic with degenerative changes of the cervical spine. No suspicious osseous lesions. Left apical lung nodule. Small mediastinal lymph nodes. Please refer to report for findings in the chest. </s>