Study slightly limited due to patient motion. CT head:Small left frontal subgaleal hematoma as well as additional soft tissue infiltration along the right parietal calvarium. There is no evidence of intracranial hemorrhage or mass. Severe periventricular and subcortical hypoattenuation is nonspecific but likely represents age-indeterminate small vessel ischemic disease. Hypoattenuating focus in the left anterior limb of the internal capsule may represent an age-indeterminate lacunar infarct. Ventricles and sulci are prominent suggesting volume loss. There is no midline shift or herniation. No underlying calvarial fractures. Left lens is thin. The paranasal sinuses are clear. Partial opacification of the inferior right mastoid air cells. Minimal retrolisthesis of C3 on C4 and C4 on C5. Vertebral body heights are intact. Multilevel disc space loss, most severe at C3 and C4 where there is mild sclerotic endplate degenerative changes. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. Mild multilevel uncovertebral joint hypertrophy. Mild left neural foraminal narrowing at C3-C4, C4-C5 and C5-C6. No significant spinal canal stenosis at any level. Severe bilateral carotid calcifications. Large left thyroid nodule. Centrilobular emphysema. Small granuloma in the right apex.
anatomical entity_fin: {'head': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'right']clinical findings_fin: {'ct head:small': {'clinical finding': 'ct head:small', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'head'}, 'small left frontal subgaleal hematoma': {'clinical finding': 'small left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small left frontal subgaleal', 'observation': 'hematoma', 'strength_term': 'small'}, 'additional soft tissue infiltration': {'clinical finding': 'additional soft tissue infiltration', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'infiltration'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'severe periventricular and subcortical hypoattenuation': {'clinical finding': 'severe periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'severe periventricular and subcortical', 'observation': 'hypoattenuation', 'strength_term': 'severe'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'internal capsule': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}, 'age-indeterminate lacunar infarct': {'clinical finding': 'age-indeterminate lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate lacunar', 'observation': 'infarct'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'underlying calvarial fractures': {'clinical finding': 'underlying calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left lens is thin': {'clinical finding': 'left lens is thin'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'inferior right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}clinical findings_fin: {'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'multilevel disc space loss': {'clinical finding': 'multilevel disc space loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc space', 'observation': 'loss'}, 'mild sclerotic endplate degenerative changes': {'clinical finding': 'mild sclerotic endplate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild sclerotic endplate degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'dens': {}}clinical findings_fin: {'is a normal relationship of the dens with the arch of c1': {'clinical finding': 'is a normal relationship of the dens with the arch of c1'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'pre-vertebral soft tissue swelling': {'clinical finding': 'pre-vertebral soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'pre-vertebral soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'uncovertebral joint': {}}clinical findings_fin: {'mild multilevel uncovertebral joint hypertrophy': {'clinical finding': 'mild multilevel uncovertebral joint hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel uncovertebral joint', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left neural foraminal narrowing': {'clinical finding': 'mild left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral carotid calcifications': {'clinical finding': 'severe bilateral carotid calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral carotid', 'observation': 'calcification', 'strength_term': 'severe'}}location descriptor_fin: ['left']clinical findings_fin: {'large left thyroid nodule': {'clinical finding': 'large left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'large left thyroid', 'observation': 'nodule', 'strength_term': 'large'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'apex': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small granuloma': {'clinical finding': 'small granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'granuloma', 'strength_term': 'small'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'right']clinical findings_fin: {'ct head:small': {'clinical finding': 'ct head:small', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'head'}, 'small left frontal subgaleal hematoma': {'clinical finding': 'small left frontal subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small left frontal subgaleal', 'observation': 'hematoma', 'strength_term': 'small'}, 'additional soft tissue infiltration': {'clinical finding': 'additional soft tissue infiltration', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'infiltration'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'severe periventricular and subcortical hypoattenuation': {'clinical finding': 'severe periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'severe periventricular and subcortical', 'observation': 'hypoattenuation', 'strength_term': 'severe'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'internal capsule': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}, 'age-indeterminate lacunar infarct': {'clinical finding': 'age-indeterminate lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate lacunar', 'observation': 'infarct'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'underlying calvarial fractures': {'clinical finding': 'underlying calvarial fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left lens is thin': {'clinical finding': 'left lens is thin'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'inferior right'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}clinical findings_fin: {'minimal retrolisthesis': {'clinical finding': 'minimal retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'retrolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'multilevel disc space loss': {'clinical finding': 'multilevel disc space loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc space', 'observation': 'loss'}, 'mild sclerotic endplate degenerative changes': {'clinical finding': 'mild sclerotic endplate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild sclerotic endplate degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'dens': {}}clinical findings_fin: {'is a normal relationship of the dens with the arch of c1': {'clinical finding': 'is a normal relationship of the dens with the arch of c1'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'pre-vertebral soft tissue swelling': {'clinical finding': 'pre-vertebral soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'pre-vertebral soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'uncovertebral joint': {}}clinical findings_fin: {'mild multilevel uncovertebral joint hypertrophy': {'clinical finding': 'mild multilevel uncovertebral joint hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel uncovertebral joint', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left neural foraminal narrowing': {'clinical finding': 'mild left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral carotid calcifications': {'clinical finding': 'severe bilateral carotid calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral carotid', 'observation': 'calcification', 'strength_term': 'severe'}}location descriptor_fin: ['left']clinical findings_fin: {'large left thyroid nodule': {'clinical finding': 'large left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'large left thyroid', 'observation': 'nodule', 'strength_term': 'large'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'apex': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small granuloma': {'clinical finding': 'small granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'granuloma', 'strength_term': 'small'}} [/INST] Study slightly limited due to patient motion. CT head:Small left frontal subgaleal hematoma as well as additional soft tissue infiltration along the right parietal calvarium. There is no evidence of intracranial hemorrhage or mass. Severe periventricular and subcortical hypoattenuation is nonspecific but likely represents age-indeterminate small vessel ischemic disease. Hypoattenuating focus in the left anterior limb of the internal capsule may represent an age-indeterminate lacunar infarct. Ventricles and sulci are prominent suggesting volume loss. There is no midline shift or herniation. No underlying calvarial fractures. Left lens is thin. The paranasal sinuses are clear. Partial opacification of the inferior right mastoid air cells. Minimal retrolisthesis of C3 on C4 and C4 on C5. Vertebral body heights are intact. Multilevel disc space loss, most severe at C3 and C4 where there is mild sclerotic endplate degenerative changes. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. Mild multilevel uncovertebral joint hypertrophy. Mild left neural foraminal narrowing at C3-C4, C4-C5 and C5-C6. No significant spinal canal stenosis at any level. Severe bilateral carotid calcifications. Large left thyroid nodule. Centrilobular emphysema. Small granuloma in the right apex. </s>