NONCONTRAST CT HEADRedemonstration of left basal ganglia intracerebral hemorrhage with IVH extending into bilateral lateral ventricles, third ventricle and fourth ventricles. Chronic ischemic infarcts with encephalomalacia seen on bilateral frontal lobes and right parietal lobe, no change since prior scan. Ventriculomegaly is seen likely related to intraventricular hemorrhage as well as ex vacuo changes, no change of ventricular size since prior scan. Minimal midline shift toward the right side, no interval change since prior scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKThere are many fine linear enhancing structures around bilateral distal ICA without clearly demonstrated bilateral distal ICA as well as proximal MCA M1 segment indicating possible moyamoya phenomenon. Bilateral MCAs were reconstituted from the proximal bilateral MCA M1 segment, and was able to trace down to the M3 segments. There is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery origins are normal. Bilateral extracranial proximal ICAs show luminal irregularities with wall calcifications without significant luminal stenosis. Vertebrobasilar system appears to be normal. Bilateral Pcom arteries are patent and Acom artery is also patent. There is normal superficial and deep intracranial venous drainage.
anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'lateral ventricles': {'location descriptor': 'bilateral'}, 'third ventricle': {}, 'fourth ventricles': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'left basal ganglia intracerebral hemorrhage': {'clinical finding': 'left basal ganglia intracerebral hemorrhage', 'cf_snomed': {'left basal ganglia': 110683006, 'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'left basal ganglia intracerebral', 'observation': 'hemorrhage'}, 'ivh': {'clinical finding': 'ivh', 'existence': 'pos_dx', 'observation': 'ivh'}}anatomical entity_fin: {'frontal lobes': {'location descriptor': 'bilateral'}, 'right parietal lobe': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic ischemic infarcts': {'clinical finding': 'chronic ischemic infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'unc_dx', 'observation': 'ventriculomegaly'}, 'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'unc_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['bilateral', 'distal', 'proximal']clinical findings_fin: {'many fine linear enhancing': {'clinical finding': 'many fine linear enhancing', 'existence': 'pos_dx', 'descriptive_term': 'many fine linear', 'observation': 'enhancing', 'quantity_term': 'many'}, 'bilateral distal ica': {'clinical finding': 'bilateral distal ica', 'existence': 'pos_dx', 'descriptive_term': 'bilateral distal', 'observation': 'ica'}, 'clearly demonstrated bilateral distal ica': {'clinical finding': 'clearly demonstrated bilateral distal ica', 'existence': 'neg_dx', 'descriptive_term': 'clearly demonstrated bilateral distal', 'observation': 'ica'}, 'possible moyamoya phenomenon': {'clinical finding': 'possible moyamoya phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'possible moyamoya', 'observation': 'phenomenon'}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able': {'clinical finding': 'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able'}}anatomical entity_fin: {'aortic arch': {}, 'origin': {}, 'left subclavian arteries': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'is normal aortic arch origin of the right brachiocephalic , left': {'clinical finding': 'is normal aortic arch origin of the right brachiocephalic , left'}}anatomical entity_fin: {'vertebral artery': {'location descriptor': 'bilateral'}, 'origins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral vertebral artery origins are normal': {'clinical finding': 'bilateral vertebral artery origins are normal'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral extracranial proximal icas': {'clinical finding': 'bilateral extracranial proximal icas', 'existence': 'pos_dx', 'descriptive_term': 'bilateral extracranial proximal', 'observation': 'icas'}, 'luminal irregularities': {'clinical finding': 'luminal irregularities', 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'irregularity'}, 'wall calcifications': {'clinical finding': 'wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'calcification'}, 'significant luminal stenosis': {'clinical finding': 'significant luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant luminal', 'observation': 'stenosis'}}clinical findings_fin: {'vertebrobasilar system appears to be normal': {'clinical finding': 'vertebrobasilar system appears to be normal'}}anatomical entity_fin: {'arteries': {}, 'artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pcom': {'clinical finding': 'bilateral pcom', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'pcom'}, 'patent_1': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'patent_2': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'lateral ventricles': {'location descriptor': 'bilateral'}, 'third ventricle': {}, 'fourth ventricles': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'left basal ganglia intracerebral hemorrhage': {'clinical finding': 'left basal ganglia intracerebral hemorrhage', 'cf_snomed': {'left basal ganglia': 110683006, 'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'left basal ganglia intracerebral', 'observation': 'hemorrhage'}, 'ivh': {'clinical finding': 'ivh', 'existence': 'pos_dx', 'observation': 'ivh'}}anatomical entity_fin: {'frontal lobes': {'location descriptor': 'bilateral'}, 'right parietal lobe': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic ischemic infarcts': {'clinical finding': 'chronic ischemic infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'unc_dx', 'observation': 'ventriculomegaly'}, 'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'unc_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['bilateral', 'distal', 'proximal']clinical findings_fin: {'many fine linear enhancing': {'clinical finding': 'many fine linear enhancing', 'existence': 'pos_dx', 'descriptive_term': 'many fine linear', 'observation': 'enhancing', 'quantity_term': 'many'}, 'bilateral distal ica': {'clinical finding': 'bilateral distal ica', 'existence': 'pos_dx', 'descriptive_term': 'bilateral distal', 'observation': 'ica'}, 'clearly demonstrated bilateral distal ica': {'clinical finding': 'clearly demonstrated bilateral distal ica', 'existence': 'neg_dx', 'descriptive_term': 'clearly demonstrated bilateral distal', 'observation': 'ica'}, 'possible moyamoya phenomenon': {'clinical finding': 'possible moyamoya phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'possible moyamoya', 'observation': 'phenomenon'}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able': {'clinical finding': 'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able'}}anatomical entity_fin: {'aortic arch': {}, 'origin': {}, 'left subclavian arteries': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'is normal aortic arch origin of the right brachiocephalic , left': {'clinical finding': 'is normal aortic arch origin of the right brachiocephalic , left'}}anatomical entity_fin: {'vertebral artery': {'location descriptor': 'bilateral'}, 'origins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral vertebral artery origins are normal': {'clinical finding': 'bilateral vertebral artery origins are normal'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral extracranial proximal icas': {'clinical finding': 'bilateral extracranial proximal icas', 'existence': 'pos_dx', 'descriptive_term': 'bilateral extracranial proximal', 'observation': 'icas'}, 'luminal irregularities': {'clinical finding': 'luminal irregularities', 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'irregularity'}, 'wall calcifications': {'clinical finding': 'wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'calcification'}, 'significant luminal stenosis': {'clinical finding': 'significant luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant luminal', 'observation': 'stenosis'}}clinical findings_fin: {'vertebrobasilar system appears to be normal': {'clinical finding': 'vertebrobasilar system appears to be normal'}}anatomical entity_fin: {'arteries': {}, 'artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pcom': {'clinical finding': 'bilateral pcom', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'pcom'}, 'patent_1': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'patent_2': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}} [/INST] NONCONTRAST CT HEADRedemonstration of left basal ganglia intracerebral hemorrhage with IVH extending into bilateral lateral ventricles, third ventricle and fourth ventricles. Chronic ischemic infarcts with encephalomalacia seen on bilateral frontal lobes and right parietal lobe, no change since prior scan. Ventriculomegaly is seen likely related to intraventricular hemorrhage as well as ex vacuo changes, no change of ventricular size since prior scan. Minimal midline shift toward the right side, no interval change since prior scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKThere are many fine linear enhancing structures around bilateral distal ICA without clearly demonstrated bilateral distal ICA as well as proximal MCA M1 segment indicating possible moyamoya phenomenon. Bilateral MCAs were reconstituted from the proximal bilateral MCA M1 segment, and was able to trace down to the M3 segments. There is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery origins are normal. Bilateral extracranial proximal ICAs show luminal irregularities with wall calcifications without significant luminal stenosis. Vertebrobasilar system appears to be normal. Bilateral Pcom arteries are patent and Acom artery is also patent. There is normal superficial and deep intracranial venous drainage. </s>