.There continues to be new gray-white matter loss of differentiation. The ventricles and the other CSF containing spaces are normal in size. There is no intracranial hemorrhage, mass effect or midline shift. There is no gross orbital abnormality. There is very minimal sphenoidal mucosal thickening without fluid, most likely of no significance. Otherwise, the imaged paranasal sinuses and mastoid air cells are clear. There is no skull fracture. Pedunculated, midline nasopharyngeal soft tissue thickening has not changed and may represent lymphoid tissue enlargement as described previously. The sella is mildly expanded with a thin rim of pituitary tissue along its floor. The petrous, cavernous, and supraclinoid segments of the internal carotid arteries are of preserved caliber and contrast opacification. Also, the paired anterior and middle cerebral arteries are unremarkable. The basilar artery is dominantly supplied by the right vertebral artery. Accounting for that, the intradural vertebral arteries are without significant narrowing. The bilateral posterior cerebral arteries are predominantly supplied by large posterior, communicating arteries which is a common variation of fetal origin. Anterior and two posterior communicating arteries are present. The dural venous sinuses are patent as well as the internal cerebral veins. There is partial obscuration of the right brachiocephalic artery and the very proximal right common carotid artery by artifact related to dense contrast in the right innominate vein. Otherwise, the aortic arch shows conventional branching pattern without significant ostial narrowing. The cervical common and internal carotid arteries are also of preserved, symmetric caliber and contrast opacification. The vertebral arteries arise from their respective subclavian arteries and also show no significant narrowing. The internal jugular veins are patent. Major salivary glands show no significant focality. The thyroid gland is also nonfocal. The airway is preserved accounting for nasopharyngeal soft tissue thickening as described above which does extend inferiorly to involve the right palatine tonsil. Small lymph nodes are present on both sides of the neck but are not enlarged and show no foci of necrosis or other suspicious features. Imaged lung apices show no suspicious opacity.
clinical findings_fin: {'continues to be new gray - white matter loss of differentiation': {'clinical finding': 'continues to be new gray - white matter loss of differentiation'}}clinical findings_fin: {'ventricles and the other csf containing spaces are normal in size': {'clinical finding': 'ventricles and the other csf containing spaces are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'gross orbital abnormality': {'clinical finding': 'gross orbital abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross orbital', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'very minimal sphenoidal mucosal thickening': {'clinical finding': 'very minimal sphenoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'very minimal sphenoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['midline']clinical findings_fin: {'pedunculated, midline nasopharyngeal soft tissue thickening': {'clinical finding': 'pedunculated, midline nasopharyngeal soft tissue thickening', 'existence': 'neg_dx', 'descriptive_term': 'pedunculated midline nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'floor': {}}imaging observation_fin: ['thin rim']clinical findings_fin: {'expanded': {'clinical finding': 'expanded', 'existence': 'pos_dx', 'observation': 'expand'}, 'pituitary tissue': {'clinical finding': 'pituitary tissue', 'existence': 'pos_dx', 'descriptive_term': 'pituitary', 'observation': 'tissue'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved caliber and contrast opacification': {'clinical finding': 'preserved caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'middle cerebral arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'also , the paired anterior and middle cerebral arteries are unremarkable': {'clinical finding': 'also , the paired anterior and middle cerebral arteries are unremarkable'}}anatomical entity_fin: {'basilar artery': {}, 'right vertebral artery': {}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior cerebral arteries': {}, 'arteries': {}, 'origin': {}}location descriptor_fin: ['bilateral', 'posterior']anatomical entity_fin: {'posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior and two posterior communicating arteries are present': {'clinical finding': 'anterior and two posterior communicating arteries are present'}}anatomical entity_fin: {'internal cerebral veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'brachiocephalic artery': {'location descriptor': 'right'}, 'common carotid artery': {'location descriptor': 'proximal right'}, 'vein': {}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dense contrast': {'clinical finding': 'dense contrast', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'contrast'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'conventional branching': {'clinical finding': 'conventional branching', 'existence': 'pos_dx', 'descriptive_term': 'conventional', 'observation': 'branching'}, 'significant ostial narrowing': {'clinical finding': 'significant ostial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant ostial', 'observation': 'narrowing'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved, symmetric caliber and contrast opacification': {'clinical finding': 'preserved, symmetric caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved symmetric caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'vertebral arteries': {}, 'subclavian arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'internal jugular veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'significant focality': {'clinical finding': 'significant focality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'focality'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nonfocal': {'clinical finding': 'nonfocal', 'existence': 'pos_dx', 'observation': 'nonfocal'}}anatomical entity_fin: {'airway': {}, 'palatine tonsil': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nasopharyngeal soft tissue thickening': {'clinical finding': 'nasopharyngeal soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}, 'necrosis': {'clinical finding': 'necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'neg_dx', 'observation': 'necrosis'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'suspicious opacity': {'clinical finding': 'suspicious opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'opacity'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'continues to be new gray - white matter loss of differentiation': {'clinical finding': 'continues to be new gray - white matter loss of differentiation'}}clinical findings_fin: {'ventricles and the other csf containing spaces are normal in size': {'clinical finding': 'ventricles and the other csf containing spaces are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'gross orbital abnormality': {'clinical finding': 'gross orbital abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross orbital', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'very minimal sphenoidal mucosal thickening': {'clinical finding': 'very minimal sphenoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'very minimal sphenoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['midline']clinical findings_fin: {'pedunculated, midline nasopharyngeal soft tissue thickening': {'clinical finding': 'pedunculated, midline nasopharyngeal soft tissue thickening', 'existence': 'neg_dx', 'descriptive_term': 'pedunculated midline nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'floor': {}}imaging observation_fin: ['thin rim']clinical findings_fin: {'expanded': {'clinical finding': 'expanded', 'existence': 'pos_dx', 'observation': 'expand'}, 'pituitary tissue': {'clinical finding': 'pituitary tissue', 'existence': 'pos_dx', 'descriptive_term': 'pituitary', 'observation': 'tissue'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved caliber and contrast opacification': {'clinical finding': 'preserved caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'middle cerebral arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'also , the paired anterior and middle cerebral arteries are unremarkable': {'clinical finding': 'also , the paired anterior and middle cerebral arteries are unremarkable'}}anatomical entity_fin: {'basilar artery': {}, 'right vertebral artery': {}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'posterior cerebral arteries': {}, 'arteries': {}, 'origin': {}}location descriptor_fin: ['bilateral', 'posterior']anatomical entity_fin: {'posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior and two posterior communicating arteries are present': {'clinical finding': 'anterior and two posterior communicating arteries are present'}}anatomical entity_fin: {'internal cerebral veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'brachiocephalic artery': {'location descriptor': 'right'}, 'common carotid artery': {'location descriptor': 'proximal right'}, 'vein': {}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dense contrast': {'clinical finding': 'dense contrast', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'contrast'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'conventional branching': {'clinical finding': 'conventional branching', 'existence': 'pos_dx', 'descriptive_term': 'conventional', 'observation': 'branching'}, 'significant ostial narrowing': {'clinical finding': 'significant ostial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant ostial', 'observation': 'narrowing'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'preserved, symmetric caliber and contrast opacification': {'clinical finding': 'preserved, symmetric caliber and contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'preserved symmetric caliber and contrast', 'observation': 'opacification', 'change_term': 'preserved'}}anatomical entity_fin: {'vertebral arteries': {}, 'subclavian arteries': {}}clinical findings_fin: {'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}anatomical entity_fin: {'internal jugular veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'significant focality': {'clinical finding': 'significant focality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'focality'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nonfocal': {'clinical finding': 'nonfocal', 'existence': 'pos_dx', 'observation': 'nonfocal'}}anatomical entity_fin: {'airway': {}, 'palatine tonsil': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nasopharyngeal soft tissue thickening': {'clinical finding': 'nasopharyngeal soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}, 'necrosis': {'clinical finding': 'necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'neg_dx', 'observation': 'necrosis'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'suspicious opacity': {'clinical finding': 'suspicious opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'opacity'}} [/INST] .There continues to be new gray-white matter loss of differentiation. The ventricles and the other CSF containing spaces are normal in size. There is no intracranial hemorrhage, mass effect or midline shift. There is no gross orbital abnormality. There is very minimal sphenoidal mucosal thickening without fluid, most likely of no significance. Otherwise, the imaged paranasal sinuses and mastoid air cells are clear. There is no skull fracture. Pedunculated, midline nasopharyngeal soft tissue thickening has not changed and may represent lymphoid tissue enlargement as described previously. The sella is mildly expanded with a thin rim of pituitary tissue along its floor. The petrous, cavernous, and supraclinoid segments of the internal carotid arteries are of preserved caliber and contrast opacification. Also, the paired anterior and middle cerebral arteries are unremarkable. The basilar artery is dominantly supplied by the right vertebral artery. Accounting for that, the intradural vertebral arteries are without significant narrowing. The bilateral posterior cerebral arteries are predominantly supplied by large posterior, communicating arteries which is a common variation of fetal origin. Anterior and two posterior communicating arteries are present. The dural venous sinuses are patent as well as the internal cerebral veins. There is partial obscuration of the right brachiocephalic artery and the very proximal right common carotid artery by artifact related to dense contrast in the right innominate vein. Otherwise, the aortic arch shows conventional branching pattern without significant ostial narrowing. The cervical common and internal carotid arteries are also of preserved, symmetric caliber and contrast opacification. The vertebral arteries arise from their respective subclavian arteries and also show no significant narrowing. The internal jugular veins are patent. Major salivary glands show no significant focality. The thyroid gland is also nonfocal. The airway is preserved accounting for nasopharyngeal soft tissue thickening as described above which does extend inferiorly to involve the right palatine tonsil. Small lymph nodes are present on both sides of the neck but are not enlarged and show no foci of necrosis or other suspicious features. Imaged lung apices show no suspicious opacity. </s>