.The CSF spaces are appropriate for the patients stated age with no midline shift. There is soft tissue swelling present within the scalp tissues adjacent to the left parietal bone. Additionally there some soft tissue swelling present in the scalp tissues adjacent to the right frontal bone. There is no evidence for an underlying fracture or coup or contrecoup injury. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells demonstrate some scattered opacities in the right mastoid air cells. The visualized portions of the orbits are intact. The eyeball lenses are thin. The cervical vertebral bodies are appropriate in overall height. No fractures are identified in the cervical spine. The osseous structures are heterogeneous in density along the vertebral bodies. There is mild anterior subluxation of C7 on T1. Atherosclerotic calcifications are present at the carotid bifurcations. At C2-3 there is a mild disc bulge associated with some small endplate osteophytes. There is bilateral facet hypertrophy present subchondral cysts and narrowing of the right neural foramina at this level. There is some encroachment of the right-sided exiting nerve roots this level. There is associated posterior ligamentous hypertrophy at this level. There is effacement of spinal fluid ventral and posterior the spinal cord with findings suspicious for moderate spinal stenosis. At C3-4 there is loss of disc space height with the some osseous bridging between C3 and C4. There is fusion of the right facet joint at this level and osseous bridging at the left facet joint. There are bilateral uncovertebral osteophytes and endplate osteophytes at this level associated with narrowing of the neural foramina bilaterally and encroachment of exiting nerve roots. There is a mild disc bulge present at this level associated with effacement of spinal fluid ventral and posterior the spinal cord. At C4-5 there is bilateral facet hypertrophy present associated with uncovertebral osteophytes left more than right and encroachment of the exiting nerve roots on the left side. There is a mild disc bulge present at this level. Overall there is some mild linear spinal stenosis at this level. At C5-6 there are endplate and uncovertebral osteophytes present at this level associated with disc material and posterior ligamentous hypertrophy. There is effacement of spinal fluid ventral and posterior the spinal cord and findings are suspicious for a moderate degree of spinal stenosis at this level. There is encroachment of the neural foramina bilaterally due to uncovertebral osteophytes with suspected encroachment of the exiting nerve roots. At C6-7 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present associated with encroachment of the exiting nerve roots within the neural foramina. There is mild narrowing of the spinal canal at this level. At C7-T1 there is mild anterior subluxation of the C7 on T1 associated with facet hypertrophy.
location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'scalp': {}, 'parietal bone': {'location descriptor': 'left'}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'scalp': {}, 'frontal bone': {'location descriptor': 'right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'some soft tissue swelling': {'clinical finding': 'some soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'some soft tissue', 'observation': 'swell', 'quantity_term': 'some'}}clinical findings_fin: {'underlying fracture': {'clinical finding': 'underlying fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'fracture'}, 'coup or contrecoup injury': {'clinical finding': 'coup or contrecoup injury', 'existence': 'neg_dx', 'descriptive_term': 'coup or contrecoup', 'observation': 'injury'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'some scattered opacities': {'clinical finding': 'some scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'some scattered', 'observation': 'opacity', 'quantity_term': 'some'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'eyeball lenses': {'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall height': {'clinical finding': 'overall height', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'some small endplate osteophytes': {'clinical finding': 'some small endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'some small endplate', 'observation': 'osteophyte', 'strength_term': 'small', 'quantity_term': 'some'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'foramina': {}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'present subchondral cysts': {'clinical finding': 'present subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'present subchondral', 'observation': 'cyst', 'quantity_term': 'present'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'nerve roots': {}}location descriptor_fin: ['right']location descriptor_fin: ['posterior']clinical findings_fin: {'associated posterior ligamentous hypertrophy': {'clinical finding': 'associated posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'associated posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'disc': {}, 'osseous': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'nerve roots': {}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'some mild linear spinal stenosis': {'clinical finding': 'some mild linear spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'some mild linear spinal', 'observation': 'stenosis', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'endplate': {}, 'uncovertebral': {}, 'disc': {}, 'ligamentous': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'posterior ligamentous hypertrophy': {'clinical finding': 'posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}clinical findings_fin: {'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'unc_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal'}}anatomical entity_fin: {'nerve roots': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}, 'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'scalp': {}, 'parietal bone': {'location descriptor': 'left'}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'scalp': {}, 'frontal bone': {'location descriptor': 'right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'some soft tissue swelling': {'clinical finding': 'some soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'some soft tissue', 'observation': 'swell', 'quantity_term': 'some'}}clinical findings_fin: {'underlying fracture': {'clinical finding': 'underlying fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'fracture'}, 'coup or contrecoup injury': {'clinical finding': 'coup or contrecoup injury', 'existence': 'neg_dx', 'descriptive_term': 'coup or contrecoup', 'observation': 'injury'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'some scattered opacities': {'clinical finding': 'some scattered opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'some scattered', 'observation': 'opacity', 'quantity_term': 'some'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'eyeball lenses': {'clinical finding': 'eyeball lenses', 'existence': 'pos_dx', 'descriptive_term': 'eyeball', 'observation': 'lense'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall height': {'clinical finding': 'overall height', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'some small endplate osteophytes': {'clinical finding': 'some small endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'some small endplate', 'observation': 'osteophyte', 'strength_term': 'small', 'quantity_term': 'some'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'foramina': {}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'present subchondral cysts': {'clinical finding': 'present subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'present subchondral', 'observation': 'cyst', 'quantity_term': 'present'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'nerve roots': {}}location descriptor_fin: ['right']location descriptor_fin: ['posterior']clinical findings_fin: {'associated posterior ligamentous hypertrophy': {'clinical finding': 'associated posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'associated posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'disc': {}, 'osseous': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'nerve roots': {}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'some mild linear spinal stenosis': {'clinical finding': 'some mild linear spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'some mild linear spinal', 'observation': 'stenosis', 'strength_term': 'mild', 'quantity_term': 'some'}}anatomical entity_fin: {'endplate': {}, 'uncovertebral': {}, 'disc': {}, 'ligamentous': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']clinical findings_fin: {'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'posterior ligamentous hypertrophy': {'clinical finding': 'posterior ligamentous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'posterior ligamentous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'fluid': {}, 'spinal cord': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}anatomical entity_fin: {'foramina': {}, 'nerve roots': {}}clinical findings_fin: {'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'unc_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal'}}anatomical entity_fin: {'nerve roots': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior subluxation': {'clinical finding': 'mild anterior subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'pos_dx', 'descriptive_term': 'mild anterior', 'observation': 'subluxation', 'strength_term': 'mild'}, 'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}} [/INST] .The CSF spaces are appropriate for the patients stated age with no midline shift. There is soft tissue swelling present within the scalp tissues adjacent to the left parietal bone. Additionally there some soft tissue swelling present in the scalp tissues adjacent to the right frontal bone. There is no evidence for an underlying fracture or coup or contrecoup injury. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells demonstrate some scattered opacities in the right mastoid air cells. The visualized portions of the orbits are intact. The eyeball lenses are thin. The cervical vertebral bodies are appropriate in overall height. No fractures are identified in the cervical spine. The osseous structures are heterogeneous in density along the vertebral bodies. There is mild anterior subluxation of C7 on T1. Atherosclerotic calcifications are present at the carotid bifurcations. At C2-3 there is a mild disc bulge associated with some small endplate osteophytes. There is bilateral facet hypertrophy present subchondral cysts and narrowing of the right neural foramina at this level. There is some encroachment of the right-sided exiting nerve roots this level. There is associated posterior ligamentous hypertrophy at this level. There is effacement of spinal fluid ventral and posterior the spinal cord with findings suspicious for moderate spinal stenosis. At C3-4 there is loss of disc space height with the some osseous bridging between C3 and C4. There is fusion of the right facet joint at this level and osseous bridging at the left facet joint. There are bilateral uncovertebral osteophytes and endplate osteophytes at this level associated with narrowing of the neural foramina bilaterally and encroachment of exiting nerve roots. There is a mild disc bulge present at this level associated with effacement of spinal fluid ventral and posterior the spinal cord. At C4-5 there is bilateral facet hypertrophy present associated with uncovertebral osteophytes left more than right and encroachment of the exiting nerve roots on the left side. There is a mild disc bulge present at this level. Overall there is some mild linear spinal stenosis at this level. At C5-6 there are endplate and uncovertebral osteophytes present at this level associated with disc material and posterior ligamentous hypertrophy. There is effacement of spinal fluid ventral and posterior the spinal cord and findings are suspicious for a moderate degree of spinal stenosis at this level. There is encroachment of the neural foramina bilaterally due to uncovertebral osteophytes with suspected encroachment of the exiting nerve roots. At C6-7 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes present associated with encroachment of the exiting nerve roots within the neural foramina. There is mild narrowing of the spinal canal at this level. At C7-T1 there is mild anterior subluxation of the C7 on T1 associated with facet hypertrophy. </s>