A ventriculostomy catheter has been placed through a right frontal approach. The tip of the catheter is near the right foramen of Monro. There is no gross hemorrhage along the tract. Frontal and intraventricular pneumocephalus is expected. There is right frontal and temporal scalp edema along the connecting tube. The right lateral ventricle has decompressed. The left lateral ventricle is unchanged to very minimally less dilated. Fourth and third ventricles remain compressed. The cerebral sulci remain effaced but this might be normal for age. Descent of the cerebellar tonsils through foramen magnum and crowding of structures at this level remain unchanged though the study is not optimal for such assessment given artifact at the level of foramen magnum. There are secretions in the nasal cavity and there is minimal sphenoidal and ethmoid mucosal thickening.
location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'ventriculostomy catheter has been placed through a right frontal approach': {'clinical finding': 'ventriculostomy catheter has been placed through a right frontal approach'}}anatomical entity_fin: {'foramen': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'gross hemorrhage': {'clinical finding': 'gross hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'hemorrhage'}}clinical findings_fin: {'frontal and intraventricular pneumocephalus': {'clinical finding': 'frontal and intraventricular pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'unc_dx', 'descriptive_term': 'frontal and intraventricular', 'observation': 'pneumocephalus'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']object_fin: ['tube']clinical findings_fin: {'right frontal and temporal scalp edema': {'clinical finding': 'right frontal and temporal scalp edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'right frontal and temporal scalp', 'observation': 'edema'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'third ventricles': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'tonsils': {}, 'foramen magnum': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'minimal sphenoidal and ethmoid mucosal thickening': {'clinical finding': 'minimal sphenoidal and ethmoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal sphenoidal and ethmoid mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'ventriculostomy catheter has been placed through a right frontal approach': {'clinical finding': 'ventriculostomy catheter has been placed through a right frontal approach'}}anatomical entity_fin: {'foramen': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'gross hemorrhage': {'clinical finding': 'gross hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'hemorrhage'}}clinical findings_fin: {'frontal and intraventricular pneumocephalus': {'clinical finding': 'frontal and intraventricular pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'unc_dx', 'descriptive_term': 'frontal and intraventricular', 'observation': 'pneumocephalus'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']object_fin: ['tube']clinical findings_fin: {'right frontal and temporal scalp edema': {'clinical finding': 'right frontal and temporal scalp edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'right frontal and temporal scalp', 'observation': 'edema'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'third ventricles': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'tonsils': {}, 'foramen magnum': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'minimal sphenoidal and ethmoid mucosal thickening': {'clinical finding': 'minimal sphenoidal and ethmoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal sphenoidal and ethmoid mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}} [/INST] A ventriculostomy catheter has been placed through a right frontal approach. The tip of the catheter is near the right foramen of Monro. There is no gross hemorrhage along the tract. Frontal and intraventricular pneumocephalus is expected. There is right frontal and temporal scalp edema along the connecting tube. The right lateral ventricle has decompressed. The left lateral ventricle is unchanged to very minimally less dilated. Fourth and third ventricles remain compressed. The cerebral sulci remain effaced but this might be normal for age. Descent of the cerebellar tonsils through foramen magnum and crowding of structures at this level remain unchanged though the study is not optimal for such assessment given artifact at the level of foramen magnum. There are secretions in the nasal cavity and there is minimal sphenoidal and ethmoid mucosal thickening. </s>