The posterior, bilateral cortical or white matter hypoattenuation has improved. This partial reversibility would further support the diagnosis of hypertensive encephalopathy. On the other hand, the focal hypodensity in the deep right frontal white matter has not significantly changed and may relate to coexisting microvascular ischemia or more severe or less reversible hypertensive encephalopathy. There is no new parenchymal abnormality. There is no intracranial hemorrhage. Gray-white differentiation is preserved. The ventricular system and the other CSF containing spaces are preserved. There is atherosclerotic calcification of the vertebral arteries. Soft tissue calcification or ossification in the included upper cervical soft tissues is unchanged. There is no skull fracture or destructive lesion. The imaged paranasal sinuses and mastoid air cells are clear.
location descriptor_fin: ['posterior', 'bilateral']clinical findings_fin: {'posterior, bilateral cortical or white matter hypoattenuation': {'clinical finding': 'posterior, bilateral cortical or white matter hypoattenuation', 'existence': 'neg_dx', 'descriptive_term': 'posterior bilateral cortical or white matter', 'observation': 'hypoattenuation'}}clinical findings_fin: {'hypertensive encephalopathy': {'clinical finding': 'hypertensive encephalopathy', 'cf_snomed': {'hypertensive encephalopathy': 50490005}, 'existence': 'unc_dx', 'descriptive_term': 'hypertensive', 'observation': 'encephalopathy'}}anatomical entity_fin: {'hand': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal hypodensity': {'clinical finding': 'focal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypodensity'}, 'coexisting microvascular ischemia': {'clinical finding': 'coexisting microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'coexisting microvascular', 'observation': 'ischemia'}, 'more severe or less reversible hypertensive encephalopathy': {'clinical finding': 'more severe or less reversible hypertensive encephalopathy', 'cf_snomed': {'hypertensive encephalopathy': 50490005}, 'existence': 'unc_dx', 'descriptive_term': 'more severe or less reversible hypertensive', 'observation': 'encephalopathy', 'strength_term': 'severe', 'quantity_term': 'more - less'}}clinical findings_fin: {'new parenchymal abnormality': {'clinical finding': 'new parenchymal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'gray-white differentiation is preserved': {'clinical finding': 'gray-white differentiation is preserved', 'change_term': 'preserved'}}clinical findings_fin: {'ventricular system and the other csf containing spaces are preserved': {'clinical finding': 'ventricular system and the other csf containing spaces are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}location descriptor_fin: ['upper']clinical findings_fin: {'soft tissue calcification': {'clinical finding': 'soft tissue calcification', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'calcification'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'unc_dx', 'observation': 'ossification'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['posterior', 'bilateral']clinical findings_fin: {'posterior, bilateral cortical or white matter hypoattenuation': {'clinical finding': 'posterior, bilateral cortical or white matter hypoattenuation', 'existence': 'neg_dx', 'descriptive_term': 'posterior bilateral cortical or white matter', 'observation': 'hypoattenuation'}}clinical findings_fin: {'hypertensive encephalopathy': {'clinical finding': 'hypertensive encephalopathy', 'cf_snomed': {'hypertensive encephalopathy': 50490005}, 'existence': 'unc_dx', 'descriptive_term': 'hypertensive', 'observation': 'encephalopathy'}}anatomical entity_fin: {'hand': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal hypodensity': {'clinical finding': 'focal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypodensity'}, 'coexisting microvascular ischemia': {'clinical finding': 'coexisting microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'coexisting microvascular', 'observation': 'ischemia'}, 'more severe or less reversible hypertensive encephalopathy': {'clinical finding': 'more severe or less reversible hypertensive encephalopathy', 'cf_snomed': {'hypertensive encephalopathy': 50490005}, 'existence': 'unc_dx', 'descriptive_term': 'more severe or less reversible hypertensive', 'observation': 'encephalopathy', 'strength_term': 'severe', 'quantity_term': 'more - less'}}clinical findings_fin: {'new parenchymal abnormality': {'clinical finding': 'new parenchymal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'gray-white differentiation is preserved': {'clinical finding': 'gray-white differentiation is preserved', 'change_term': 'preserved'}}clinical findings_fin: {'ventricular system and the other csf containing spaces are preserved': {'clinical finding': 'ventricular system and the other csf containing spaces are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}location descriptor_fin: ['upper']clinical findings_fin: {'soft tissue calcification': {'clinical finding': 'soft tissue calcification', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'calcification'}, 'ossification': {'clinical finding': 'ossification', 'existence': 'unc_dx', 'observation': 'ossification'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] The posterior, bilateral cortical or white matter hypoattenuation has improved. This partial reversibility would further support the diagnosis of hypertensive encephalopathy. On the other hand, the focal hypodensity in the deep right frontal white matter has not significantly changed and may relate to coexisting microvascular ischemia or more severe or less reversible hypertensive encephalopathy. There is no new parenchymal abnormality. There is no intracranial hemorrhage. Gray-white differentiation is preserved. The ventricular system and the other CSF containing spaces are preserved. There is atherosclerotic calcification of the vertebral arteries. Soft tissue calcification or ossification in the included upper cervical soft tissues is unchanged. There is no skull fracture or destructive lesion. The imaged paranasal sinuses and mastoid air cells are clear. </s>