The aerodigestive mucosa is free of any masslike lesion or pathologic enhancement. Evidence of bilateral neck dissection is again seen. No pathologic adenopathy is identified by size criteria. A reference right level Ib lymph node continues to measure 11 x 8 mm , unchanged. Fatty atrophy of the left parotid gland is unchanged. The submandibular glands have been resected. A hypoattenuating nodule within the right thyroid lobe is unchanged. The cervical vessels enhance normally. No concerning or destructive osseous lesions are identified.
anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'any masslike lesion': {'clinical finding': 'any masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'any masslike', 'observation': 'lesion'}, 'pathologic enhancement': {'clinical finding': 'pathologic enhancement', 'existence': 'unc_dx', 'descriptive_term': 'pathologic', 'observation': 'enhancement'}}anatomical entity_fin: {'neck': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral neck dissection': {'clinical finding': 'bilateral neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neck', 'observation': 'dissection'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}size_fin: [{'size': '11 x 8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level ib lymph node': {'clinical finding': 'reference right level ib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level ib lymph', 'observation': 'node'}}anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'submandibular glands have been resected': {'clinical finding': 'submandibular glands have been resected', 'change_term': 'resected'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating nodule': {'clinical finding': 'hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'any masslike lesion': {'clinical finding': 'any masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'any masslike', 'observation': 'lesion'}, 'pathologic enhancement': {'clinical finding': 'pathologic enhancement', 'existence': 'unc_dx', 'descriptive_term': 'pathologic', 'observation': 'enhancement'}}anatomical entity_fin: {'neck': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral neck dissection': {'clinical finding': 'bilateral neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neck', 'observation': 'dissection'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}size_fin: [{'size': '11 x 8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level ib lymph node': {'clinical finding': 'reference right level ib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level ib lymph', 'observation': 'node'}}anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'submandibular glands have been resected': {'clinical finding': 'submandibular glands have been resected', 'change_term': 'resected'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating nodule': {'clinical finding': 'hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}} [/INST] The aerodigestive mucosa is free of any masslike lesion or pathologic enhancement. Evidence of bilateral neck dissection is again seen. No pathologic adenopathy is identified by size criteria. A reference right level Ib lymph node continues to measure 11 x 8 mm , unchanged. Fatty atrophy of the left parotid gland is unchanged. The submandibular glands have been resected. A hypoattenuating nodule within the right thyroid lobe is unchanged. The cervical vessels enhance normally. No concerning or destructive osseous lesions are identified. </s>