There is a large area of loss of gray-white differentiation associated with mass effect and swelling involving the majority of the right hemisphere including right anterior and middle cerebral artery territories. This includes right frontal, parietal and lateral temporal lobes as well as basal ganglia and internal capsules in these territories. The mass effect has clearly progressed since the prior exam and the hypodensity has become more hypodense on the current exam versus the prior. There is approximately 11 mm shift of the septum pellucidum towards the left side. There is some mild uncal herniation present. A focus of encephalomalacia is present along the left inferior parietal lobuleThe left lateral ventricle is large. The right lateral ventricle is compressed. Atherosclerotic calcifications are present along the distal internal carotid arteries. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
anatomical entity_fin: {'middle cerebral artery': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}anatomical entity_fin: {'temporal lobes': {'location descriptor': 'lateral'}, 'basal ganglia': {}, 'internal capsules': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'septum pellucidum': {}}location descriptor_fin: ['left']clinical findings_fin: {'some mild uncal herniation': {'clinical finding': 'some mild uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'some mild uncal', 'observation': 'herniation', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'middle cerebral artery': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}anatomical entity_fin: {'temporal lobes': {'location descriptor': 'lateral'}, 'basal ganglia': {}, 'internal capsules': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'septum pellucidum': {}}location descriptor_fin: ['left']clinical findings_fin: {'some mild uncal herniation': {'clinical finding': 'some mild uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'some mild uncal', 'observation': 'herniation', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}anatomical entity_fin: {'right lateral ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] There is a large area of loss of gray-white differentiation associated with mass effect and swelling involving the majority of the right hemisphere including right anterior and middle cerebral artery territories. This includes right frontal, parietal and lateral temporal lobes as well as basal ganglia and internal capsules in these territories. The mass effect has clearly progressed since the prior exam and the hypodensity has become more hypodense on the current exam versus the prior. There is approximately 11 mm shift of the septum pellucidum towards the left side. There is some mild uncal herniation present. A focus of encephalomalacia is present along the left inferior parietal lobuleThe left lateral ventricle is large. The right lateral ventricle is compressed. Atherosclerotic calcifications are present along the distal internal carotid arteries. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s>